A patient who has prescriptions for both an intravenous pyelogram ...

[vinney12]

A patient who has prescriptions for both an intravenous pyelogram and a barium enema tells the nurse, I will schedule the intravenous pyelogram to be done before the barium enema. Which of these responses by the nurse is most appropriate?
 
  1. Please make your appointments as you have indicated.
  2. Please clarify with your primary healthcare provider which should be completed first.
  3. Please reverse the order of your planned appointments.
  4. The order of the tests is irrelevant. You may change the order to meet your needs.

Question 2

A patient is scheduled for a cystogram. What information in the patient's history should the nurse bring to the healthcare provider's attention as potentially causing a problem with the patient?
 
  Select all that apply.
  1. cystitis
  2. prostatitis
  3. hypersensitivity to anesthetics
  4. right-sided hemiplegia
  5. chronic pain

[mariahkathleeen]

Answer to Question 1

Correct Answer: 1
Schedule an IVP prior to any ordered barium test or gallbladder studies using contrast material, as residual contrast material from the barium enema or gallbladder studies may interfere with the IVP results. The patient does not need to contact the healthcare provider to clarify the scheduling of the tests. The order of the tests is relevant.

Answer to Question 2

Correct Answer: 1, 2, 3
A history of cystitis or prostatitis could result in sepsis after the procedure. Hypersensitivity to anesthetics could result in problems after the procedure. Right-sided hemiplegia and chronic pain are not issues for this patient.