A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
"The last time I voided it was painful and red-tinged.”.
"My period ended 2 days ago.”.
"I drink at least 2 quarts of fluid every day.”.
"I don't eat shellfish because it gives me hives.”.
The Correct Answer is D
Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Flexing her ankles is a safe action that promotes blood flow and prevents clot formation.
Choice B rationale:
Massaging her legs can dislodge a clot if one has formed, leading to a VTE.
Choice C rationale:
Elevating her feet improves venous return, reducing the risk of VTE.
Choice D rationale:
Ambulating soon after surgery promotes blood flow and prevents clot formation.
Correct Answer is B
Explanation
Choice A rationale:
This statement describes a skin graft, not an escharotomy.
Choice B rationale:
An escharotomy involves making large incisions in the eschar (burned tissue) to relieve pressure and improve circulation to the area.
Choice C rationale:
This statement describes debridement, which is the removal of dead tissue, but it is not specific to an escharotomy.
Choice D rationale:
This statement describes a method of debridement, not an escharotomy.
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