A nurse is reinforcing teaching with a client who is scheduled for an Intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?
"I will feel a warming sensation after the injection of the dye."
"I should limit my fluid intake for 2 days after the procedure."
"I do not need to sign a consent form before this procedure."
"I can have a meal up to 2 hours before the procedure."
The Correct Answer is A
A. Correct. A warming sensation or a feeling of warmth throughout the body is a common sensation experienced by patients during an intravenous pyelogram due to the contrast dye used.
B. Limiting fluid intake is not typically necessary after an intravenous pyelogram; in fact, increased fluid intake is often recommended to help flush the dye from the body.
C. A signed consent form is usually required for invasive procedures like an intravenous pyelogram.
D. Eating or drinking before the procedure might interfere with the test results, so it is generally not allowed.
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Related Questions
Correct Answer is D
Explanation
A. Constipation can be caused by various factors including pain medications, but it is not a direct indicator of unrelieved pain.
B. Difficulty swallowing may not be directly related to unrelieved pain from the herniated disc.
C. Urinary retention is more likely related to the anesthesia effects or nerve compression in the spine rather than unrelieved pain.
D. Correct. Clenched teeth or grimacing are often signs of unrelieved pain. These nonverbal cues can be important indicators of discomfort in patients who might not verbally express their pain.
Correct Answer is B
Explanation
A. Incorrect. While a client scheduled for surgery is important, addressing the client with elevated blood pressure and a headache takes priority.
B. Correct. The client with elevated blood pressure and a headache requires immediate assessment, as these symptoms could indicate a hypertensive crisis or other serious complications.
C. Incorrect. While addressing postoperative nausea is important, the client with elevated blood pressure and headache requires more immediate attention.
D. Incorrect. A client with a Jackson Pratt drain may need care and assessment, but a client with elevated blood pressure and a headache has a more urgent need for evaluation.
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