Author Question: A patient is scheduled for an intravenous pyelogram (IVP). For this diagnostic examination the nurse ... (Read 89 times)

TVarnum · **on:** Jul 22, 2018

A patient is scheduled for an intravenous pyelogram (IVP). For this diagnostic examination the nurse needs to:

A. make no special preparations before the examination.
B. push oral fluids before the examination.
C. have the patient fast after the procedure.
D. assess the patient for an allergy to iodine before the examination.

Question 2

Hal is a 26-year-old man who works in construction. He was helping a friend replace a roof on his backyard shed after work on a hot July afternoon. Hal and his friend had a few beers as they worked on the roof.

Hal's friend took him to the hospital after Hal had severe muscle cramps and became confused. Which of the following should the admitting nurse do first when assessing Hal? A. Draw a specimen to check for blood alcohol level.
B. Take Hal's temperature.
C. Ask Hal how long he had been sick.
D. Start an intravenous line.

parker125 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Before an IVP procedure, bowel preparation is required. The patient is NPO after midnight. Af-ter the procedure the patient is encouraged to push fluids to reduce the nephrotoxic effects of the contrast material.

Answer to Question 2

B
Prolonged exposure to the sun or high environmental temperatures overwhelms the body's heat loss mechanisms. Heat also depresses hypothalamic function. These conditions cause heat stroke, a dangerous heat emergency, defined as a body temperature of 40 C (104 F) or higher. Signs and symptoms of heat stroke include giddiness, confusion, delirium, excess thirst, nausea, muscle cramps, visual disturbances, and even incontinence. The most important sign of heat stroke is hot, dry skin. A heat stroke can be fatal.