The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

Ask whether the patient has any questions about the procedure.

Ask the patient to void before the procedure.

Check for an allergy to iodine or shellfish.

Assess the client's ability to remain still for the procedure.

Answer and Explanation

The Correct Answer is C

Choice A reason: While it is important to address any questions the patient may have, it is not the highest priority before an IVP procedure.

Choice B reason: Asking the patient to void before the procedure is a standard practice, but it is not the highest priority. The bladder should be empty to allow for clear imaging, but this can be managed at the time of the procedure.

Choice C reason: Checking for an allergy to iodine or shellfish is the highest priority because the contrast medium used in an IVP can cause severe allergic reactions in patients with these allergies. This assessment must be done before administering the contrast to prevent potentially life-threatening complications.

Choice D reason: Assessing the client's ability to remain still is important for the quality of the images, but it is not as critical as ensuring the safety of the patient regarding potential allergic reactions.

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Correct Answer is B

Explanation

Choice A reason : Maintenance chemotherapy is not typically used to maintain remission in Hodgkin's lymphoma after successful treatment.

Choice B reason : Follow-up appointments are crucial for monitoring any signs of recurrence or secondary malignancies, as well as managing long-term eﬀects of treatment.

Choice C reason : The potential impact of chemotherapy on fertility is an important topic, especially for younger patients, but may not be as relevant for a 55-year-old woman.

Choice D reason : Addressing symptoms like pruritus, which can persist after treatment, is important for patient comfort and quality of life.

A. Respiratory Acidosis B. Respiratory Alkalosis C. Metabolic Alkalosis D. Metabolic Acidosis

Correct Answer is C

Explanation

Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.

Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.

Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.

Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.

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The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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