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Author Question: The patient is ordered a CT scan with contrast. Which question should the nurse ask the conscious ... (Read 60 times)

Mr. Wonderful

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on: Jun 25, 2018
The patient is ordered a CT scan with contrast. Which question should the nurse ask the conscious patient before the procedure?
 
  a. Are you allergic to penicillin?
  b. Are you allergic to iodine-based dye?
  c. Are you allergic to latex?
  d. Are you allergic to eggs?

Question 2

A patient has sepsis and is placed on broad-spectrum antibiotics. Her temperature is 37.8 C. Her BUN level is elevated. She continues on vasopressor therapy. What other steps should be taken to protect the patient from inadequate organ perfusion?
 
  a. Increase net ultrafiltrate of fluid.
  b. Discontinue vasopressor support.
  c. Assess the patient for blood loss and hypotension.
  d. Notify the physician of access pressures.


aprice35067

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Reply #1 on: Jun 25, 2018
Answer to Question 1

B
If the patient is scheduled to receive contrast for computed tomography (CT) scanning, questions about possible sensitivity to iodine-based dye must be asked beforehand, if possible. During infusion of the dye and for 10 to 30 minutes afterward, the patient is observed closely for an anaphylactic reaction. Fewer than 1 of all patients undergoing contrast-enhanced CT have severe anaphylactic reactions, shock, or cardiac arrest.

Answer to Question 2

C
The patient should be assessed for blood loss or response to blood products and medications. The nurse should use ordered vasopressor support and decrease the net ultrafiltrate to zero.


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