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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 B

Explanation

Prepare the client for a central venous line.
Parenteral nutrition (PN) with 20% dextrose and fat emulsions is a hypertonic solution that requires infusion through a central venous line to prevent damage to peripheral veins.

Choice A is wrong because the PN infusion bag should be changed every 24 hours, not every 48 hours.

Choice Cis wrong because blood glucose should be monitored more frequently than once daily when initiating PN therapy.

Choice Dis wrong because PN and fat emulsions can be administered together in a total nutrient admixture (TNA)1.

A. Heightened sense of pain. B. Increased nighttime sleeping. C. Decreased sense of balance. D. Nighttime urinary incontinence.

Correct Answer is C

Explanation

As people age, they may experience a decrease in their sense of balance. This can increase the risk of falls and injuries.
Choice A is wrong because older adults may actually have a decreased sense of pain.
Choice B is wrong because older adults may experience changes in their sleep patterns, including difficulty falling asleep or staying asleep.
Choice D is wrong because while urinary incontinence can be a common issue among older adults, it is not limited to nighttime.

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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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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?