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.

Answer and Explanation

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.

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Correct Answer is ["100"]

Explanation

Step 1: Determine the total volume to be infused.

Total volume = 50 mL
Result: 50 mL

Step 2: Determine the total time for infusion in hours.

Total time = 30 minutes
Convert minutes to hours: 30 minutes ÷ 60 minutes/hour = 0.5 hours
Result: 0.5 hours

Step 3: Calculate the flow rate in mL/hr.

Flow rate (mL/hr) = Total volume (mL) ÷ Total time (hours)
Flow rate (mL/hr) = 50 mL ÷ 0.5 hours
Result: 50 ÷ 0.5 = 100

Final Answer: The nurse should set the IV pump to deliver 100 mL/hr.

A. There are rare, occasional occurrences of smallpox. B. Smallpox lesions appear in various stages of healing. C. Unlike chickenpox, the vesicles of smallpox are more abundant on the face. D. Vaccination against smallpox provides lifelong immunity.

Correct Answer is D

Explanation

Choice A reason: There are no current occurrences of smallpox. Smallpox was declared eradicated in 1980 by the World Health Organization (WHO) after a successful global vaccination campaign. Therefore, the statement that there are rare, occasional occurrences of smallpox is incorrect.

Choice B reason: Smallpox lesions do not appear in various stages of healing at the same time. Unlike chickenpox, where lesions can be in different stages of healing simultaneously, smallpox lesions typically develop and progress through stages uniformly. This means that all lesions are generally at the same stage of development at any given time.

Choice C reason: The vesicles of smallpox are indeed more abundant on the face and extremities compared to the trunk. This distribution pattern is a distinguishing feature of smallpox, as opposed to chickenpox, which tends to have a more central distribution with more lesions on the trunk.

Choice D reason: Vaccination against smallpox provides lifelong immunity. The smallpox vaccine, which uses a live virus related to smallpox called vaccinia, has been shown to provide long-lasting immunity. Studies have indicated that immunity can last for decades, and even those vaccinated many years ago retain some level of protection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?

Correct Answer is D

Explanation

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