A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
The procedure will be cancelled if the urinalysis indicates the presence of red blood cells.
You will be able to resume your regular diet as soon as the test is complete.
High-frequency sound waves will be used to identify renal system structures.
After the procedure, you will be encouraged to drink plenty of fluids.
The Correct Answer is D
Choice A reason: The procedure will be cancelled if the urinalysis indicates the presence of red blood cells
This statement is incorrect. The presence of red blood cells in the urine does not necessarily cancel an intravenous pyelogram (IVP). The test is often used to diagnose conditions that might cause blood in the urine, such as kidney stones or tumors. Therefore, this statement does not accurately reflect the procedure’s protocol.
Choice B reason: You will be able to resume your regular diet as soon as the test is complete
This statement is correct. After an IVP, clients can typically resume their regular diet unless otherwise instructed by their healthcare provider. However, this is not the most critical piece of information for the client to understand about the procedure.
Choice C reason: High-frequency sound waves will be used to identify renal system structures
This statement is incorrect. An IVP uses X-rays and a contrast dye to visualize the urinary tract, not high-frequency sound waves. High-frequency sound waves are used in ultrasound imaging, which is a different diagnostic procedure.
Choice D reason: After the procedure, you will be encouraged to drink plenty of fluids
This statement is correct and important. After an IVP, clients are encouraged to drink plenty of fluids to help flush the contrast dye out of their system and reduce the risk of kidney damage. This is a crucial part of post-procedure care and should be emphasized to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Tea
Tea contains polyphenols and tannins, which can inhibit the absorption of nonheme iron. Therefore, it is not recommended to consume tea with iron-rich foods if the goal is to enhance iron absorption.
Choice B reason: Dried beans
Dried beans are a good source of nonheme iron, but they do not enhance its absorption. In fact, beans contain phytates, which can inhibit iron absorption. While they are beneficial for iron intake, they should be consumed with foods that enhance iron absorption, such as those rich in vitamin C.
Choice C reason: Milk
Milk contains calcium, which can inhibit the absorption of both heme and nonheme iron. Therefore, it is not recommended to consume milk with iron-rich foods if the goal is to enhance iron absorption.
Choice D reason: Tomato juice
Tomato juice is rich in vitamin C, which significantly enhances the absorption of nonheme iron. Consuming vitamin C-rich foods like tomato juice with iron-rich foods can improve the body’s ability to absorb iron, making it an excellent choice for individuals with iron deficiency anemia.
Correct Answer is D
Explanation
Choice A reason:
Administering medication with an oral syringe is a recommended practice for giving liquid medication to infants. An oral syringe allows for accurate measurement and controlled delivery of the medication, reducing the risk of choking and ensuring the infant receives the correct dose. Therefore, this statement does not indicate a need for further instruction.
Choice B reason:
Inserting the medication in the infant’s buccal cavity (the space between the gums and the cheek) is also a recommended technique. This method helps to prevent the infant from spitting out the medication and ensures better absorption. Hence, this statement does not indicate a need for further instruction.
Choice C reason:
Allowing the infant to swallow some of the medication before administering more is a safe and effective way to give medication. This approach helps to prevent choking and ensures that the infant can handle the amount of medication being given. Therefore, this statement does not indicate a need for further instruction.
Choice D reason:
Positioning the infant in a supine position (lying flat on their back) is not recommended when administering oral medication. This position increases the risk of aspiration, where the medication could enter the airway instead of the esophagus. The correct position is to hold the infant in an upright or semi-upright position to ensure safe swallowing and reduce the risk of choking or aspiration. Therefore, this statement indicates a need for further instruction.
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