When preparing a client for an intravenous pyelogram (IVP), it is essential for the nurse to take which action?

Encourage the client to drink at least 3 to 4 liters of water prior to the procedure.

Notify the healthcare provider if the client reports any allergies to iodine or shellfish.

Instruct the client that it will be necessary to keep the legs straight for 6 to 8 hours after the procedure.

Insert an indwelling urinary catheter prior to going to the X-ray department.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Encouraging the client to drink at least 3 to 4 liters of water prior to the procedure is not a standard preparation for an intravenous pyelogram (IVP). Overhydration could potentially complicate the procedure.

Choice B rationale

It is essential for the nurse to notify the healthcare provider if the client reports any allergies to iodine or shellfish. The contrast dye used in an IVP often contains iodine. People who are allergic to iodine or shellfish may have a reaction to this dye.

Choice C rationale

Instructing the client to keep the legs straight for 6 to 8 hours after the procedure is not a standard instruction for IVP. This instruction is more commonly associated with procedures involving the insertion of a catheter into a large artery or vein.

Choice D rationale

Inserting an indwelling urinary catheter prior to going to the X-ray department is not a standard preparation for an IVP. The procedure involves the injection of a contrast dye into a vein, not the bladder.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

Based on the client’s history and physical, the following areas increase the risk for postpartum hemorrhage:

Gravida 5 Para 5 (G5P5): Multiparity (having given birth 5 times) can increase the risk of postpartum hemorrhage due to uterine atony (lack of muscle tone) resulting from repeated stretching of the uterus.
Delivery of a 9 lb 1 oz (4.1 kg) baby: Macrosomia (large baby) can overstretch the uterus, increasing the risk of uterine atony and postpartum hemorrhage.
Labor for 25 hours and use of forceps for delivery: Prolonged labor and instrumental delivery can lead to uterine fatigue and atony, increasing the risk of postpartum hemorrhage.
4th degree laceration: Severe lacerations can lead to significant blood loss.
Estimated blood loss was 600 mL after delivery: This is a significant amount of blood loss and could indicate a risk for further hemorrhage.
Lochia rubra moderate with small clots: This could indicate ongoing blood loss.

A. Provide counseling that most contraceptives protect against infection. B. Clarify that all STIs are transmitted through sexual intercourse. C. Emphasize that using safe sex practices removes the risk of STIs. D. Explain that reinfections occur from sex with untreated partners.

Correct Answer is D

Explanation

Choice A rationale

While it’s true that many contraceptives can help prevent certain sexually transmitted infections (STIs), they are not 100% effective. Condoms, for instance, can reduce the risk of STIs that are spread through bodily fluids, such as gonorrhea and chlamydia. However, they are less effective at protecting against STIs that are transmitted through skin-to-skin contact, such as herpes and human papillomavirus (HPV)1.

Choice B rationale

Not all STIs are transmitted through sexual intercourse. Some STIs, such as herpes and HPV, can be spread through skin-to-skin contact. Others, like HIV and hepatitis B and C, can also be spread through sharing needles or from mother to child during childbirth.

Choice C rationale

Safe sex practices can significantly reduce, but not completely remove, the risk of STIs. These practices include using condoms correctly every time you have sex, getting tested regularly for STIs, and limiting the number of sexual partners.

Choice D rationale

Reinfections can indeed occur from having sex with untreated partners. This is particularly true for bacterial STIs like syphilis. If a person’s partner is not treated, the bacteria can remain in their body and they can pass the infection back to the person after they’ve been treated.

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When preparing a client for an intravenous pyelogram (IVP), it is essential for the nurse to take which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F"]

Explanation

The nurse is caring for a client with the sexually transmitted infection (STI) syphilis.The client reports having unprotected sex.Which response should the nurse provide?

Correct Answer is D

Explanation

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When preparing a client for an intravenous pyelogram (IVP), it is essential for the nurse to take which action?

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