A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Pantoprazole

Simvastatin

Valsartan

Metformin

Answer and Explanation

The Correct Answer is D

A) Pantoprazole:
Pantoprazole is a proton pump inhibitor used to reduce stomach acid. It does not typically require withholding before radiological studies with IV contrast dye.

B) Simvastatin:
Simvastatin, a statin medication used to lower cholesterol, does not need to be withheld before radiological studies with IV contrast dye.

C) Valsartan:
Valsartan, an angiotensin II receptor blocker used for hypertension, does not typically need to be withheld before radiological studies with IV contrast dye.

D) Metformin:
Metformin, an oral antidiabetic medication, should be withheld before radiological studies with IV contrast dye. There is a risk of lactic acidosis when metformin interacts with IV contrast dye, particularly in clients with impaired renal function.

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Correct Answer is D

Explanation

A) Headache:
Omeprazole is not typically prescribed for headaches. It is a proton pump inhibitor (PPI) used primarily to reduce stomach acid production and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It does not directly relieve headache symptoms.

B) Nausea:
While omeprazole can indirectly help alleviate nausea associated with acid reflux or gastritis, it is not primarily indicated for nausea relief. Its main therapeutic effect is on reducing stomach acid production.

C) Diarrhea:
Omeprazole is not used to treat diarrhea. It does not have direct effects on bowel motility or stool consistency.

D) Acid indigestion:
Omeprazole is effective in relieving symptoms of acid indigestion, also known as heartburn or acid reflux. It works by decreasing the production of stomach acid, thereby reducing the burning sensation and discomfort associated with acid reflux.

A. Notify the nurse manager. B. Complete an incident report. C. Give the client 15 to 20 g of carbohydrate. D. Check the client's blood glucose level

Correct Answer is D

Explanation

A) Notify the nurse manager:
While it's important to communicate the error to the nurse manager and appropriate supervisors, the immediate priority is to address the client's current condition and ensure their safety.

B) Complete an incident report:
Filling out an incident report is necessary to document the error and ensure proper follow-up and investigation. However, the client's immediate well-being takes precedence.

C) Give the client 15 to 20 g of carbohydrate:
Administering carbohydrates may be necessary if the client is hypoglycemic, but checking the blood glucose level first is essential to confirm the current status and determine the appropriate intervention.

D) Check the client's blood glucose level:
This is the priority action because it allows the nurse to assess the client's current blood glucose level and determine if corrective action, such as administering carbohydrates or further insulin adjustments, is needed to address any potential hypoglycemia resulting from the incorrect insulin dose.

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A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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