A nurse is caring for a client with a history of renal ...

[RRMR]

A nurse is caring for a client with a history of renal insufficiency who is scheduled for a computed tomography scan of the head with contrast medium. Which priority intervention should the nurse implement?
 
  a. Educate the client about strict bedrest after the procedure.
  b. Place an indwelling urinary catheter to closely monitor output.
  c. Obtain a prescription for intravenous fluids.
  d. Contact the provider to cancel the procedure.

Question 2

A nurse obtains a focused health history for a client who is scheduled for magnetic resonance angiography. Which priority question should the nurse ask before the test?
 
  a. Have you had a recent blood transfusion?
  b. Do you have allergies to iodine or shellfish?
  c. Are you taking any cardiac medications?
  d. Do you currently use oral contraceptives?

[miss.ashley]

Answer to Question 1

ANS: C
If a contrast medium is used, intravenous fluid may be given to promote excretion of the contrast medium. Contrast medium also may act as a diuretic, resulting in the need for fluid replacement. The client will not require bedrest. Although urinary output should be monitored closely, there is no need for an indwelling urinary catheter. There is no need to cancel the procedure as long as actions are taken to protect the kidneys.

Answer to Question 2

ANS: B
Allergies to iodine and/or shellfish need to be explored because the client may have a similar reaction to the dye used in the procedure. In some cases, the client may need to be medicated with antihistamines or steroids before the test is given. A recent blood transfusion or current use of cardiac medications or oral contraceptives would not affect the angiography.

[RRMR]

Correct answers!

[miss.ashley]

Great! Please up vote