Final answer:
The question involves planning care for a client with an iodine allergy focusing on urinary elimination, which includes managing dietary intake and monitoring for conditions like oliguria that impact urine excretion. Radioactive isotopes are used to assess thyroid function and detect abnormalities.
Step-by-step explanation:
The student is inquiring about planning care for a client with an iodine allergy and its implications on urinary elimination. Iodine is typically excreted through the urine, where 40 to 80% of the intake is eliminated daily in adults, within the range of 20 to 70 µg and 20 to 35 µg in children. The excretory load on the kidneys can be reduced with dietary modifications, ensuring adequate daily water intake to produce 2 to 2.5 liters of urine and limiting certain food items such as chocolate, nuts, and soybeans.
In terms of excretory function, testing often includes injecting a dye such as bromsulphalein and analyzing its excretion rate in the urine. For thyroid function, radioactive iodine 131 and radioactive phosphate are used to detect abnormal activity and potential cancerous cells, respectively. Conditions like oliguria, characterized by urine excretion less than 600 ml/day, can arise due to various ailments including fever, shock, or vomiting. On the atomic level, iodine anions added to iodized salt possess a 1- charge and a mass number of 127, containing 53 protons, 74 neutrons, and 54 electrons due to the additional electron present in the anion.