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A nurse is planning care for a client who is scheduled for an intravenous pyelogram.

Which of the following actions is appropriate for the nurse to include?

Assist the client with a bowel cleansing.

Monitor the client for pain in the suprapubic region.

Ensure the client is free of metal objects.

Administer 240 mL (8 oz) of oral contrast before the procedure.

Answer and Explanation

The Correct Answer is C

Answer: The correct answer is choice c. Ensure the client is free of metal objects.

Here's the rationale for each choice:

Choice A: Rationale: Bowel cleansing is not routinely performed before an intravenous pyelogram (IVP) unless there is a specific concern about fecal matter obscuring the urinary tract on the X-rays.
Choice B: Rationale: While pain in the suprapubic region (lower abdomen) is not a common side effect of an IVP, the nurse should be aware of this possibility and assess the client for any discomfort. However, monitoring for pain is not a specific action to include in preparation for the procedure.
Choice C: Rationale: Metal objects can interfere with the X-ray images during an IVP. Ensuring the client removes any jewelry or clothing with metal fasteners is an important step in preparation.
Choice D: Rationale: Oral contrast is not typically used in an IVP. The contrast material for this procedure is administered intravenously.

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Correct Answer is A

Explanation

“Potassium 5.8 mEq/L” should be reported to the provider because it is higher than the normal range for potassium levels in the blood.
Normal potassium levels range from.6 to 5.2 millimoles per liter (mmol/L)1.
Choices B, C, and D are incorrect because sodium levels of 140 mEq/L, and magnesium levels of.9 mEq/L and calcium levels of 9.6 mg/dL are all within normal ranges and do not need to be reported to the provider.

A. 200 mg. B. 180 mg. C. 400 mg. D. 440 mg.

Correct Answer is A

Explanation

To calculate the dose of gentamicin to administer to a client who weighs 220 Ib, first convert the client’s weight from pounds to kilograms.
220 Ib is equivalent to 100 kg (220 Ib /.2 Ib/kg = 100 kg).
Then, multiply the client’s weight in kilograms by the dose of gentamicin per kilogram: 100 kg * 2 mg/kg = 200 mg.
Therefore, the nurse should administer 200 mg of gentamicin.
Choice B is wrong because 180 mg is not the correct dose.
Choice C is wrong because 400 mg is not the correct dose.
Choice D is wrong because 440 mg is not the correct dose.

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A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a newly admitted client. Which of the following laboratory values should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 Ib. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

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A nurse is planning care for a client who is scheduled for an intravenous pyelogram.

Which of the following actions is appropriate for the nurse to include?