Question

The nurse is preparing a client for an intravenous pyelogram. which nursing actions are performed correctly?

A) Assessing the client's history of allergies to iodine or shellfish
B) Administering a laxative to cleanse the bowel before the procedure
C) Withholding food and fluids for 4 hours before the test
D) Explaining that a warm, flushed feeling may occur when the contrast medium is injected
E) Monitoring the client for signs of contrast medium allergy, such as hives or itching

Answer 1

Correct nursing actions for preparing a client for an intravenous pyelogram include assessing for allergies, administering a laxative, withholding food and fluids, informing about sensations during contrast injection, and monitoring for allergic reactions.

Step-by-step explanation:

The nurse is preparing a client for an intravenous pyelogram, which involves a series of nursing actions. The following nursing actions are performed correctly:

Assessing the client's history of allergies to iodine or shellfish is crucial as the contrast medium used in an intravenous pyelogram may contain iodine.

Administering a laxative to cleanse the bowel before the procedure is important to ensure clear images are obtained.

Withholding food and fluids for 4 hours before the test is a standard practice to reduce the risk of aspiration during the procedure.

Explaining that a warm, flushed feeling may occur when the contrast medium is injected is part of the nurse's duty to inform the client about possible sensations they might experience during the test.

Monitoring the client for signs of contrast medium allergy, such as hives or itching, is critical for promptly addressing any adverse reactions that may arise.

All these steps are essential for the safe and effective administration of an intravenous pyelogram and for ensuring the well-being of the client during and after the procedure.