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 D
Explanation
Choice A rationale:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.
Correct Answer is A
Explanation
Choice A rationale:
Airway obstruction is the immediate life-threatening risk due to swelling and blistering in the airway.
Choice B rationale:
Paralytic ileus is a potential complication, but it is not the immediate priority.
Choice C rationale:
Infection is a risk due to loss of skin integrity, but it is not the immediate priority.
Choice D rationale:
Fluid imbalance is a risk due to fluid loss from the burns, but airway management is the immediate priority.
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