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Author Question: Which assessment of a 62-year-old patient who has just had an intravenous pyelogram (IVP) requires ... (Read 111 times)

jman1234

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on: Jun 25, 2018
Which assessment of a 62-year-old patient who has just had an intravenous pyelogram (IVP) requires immediate action by the nurse?
 
  a. The heart rate is 58 beats/minute.
  b. The patient complains of a dry mouth.
  c. The respiratory rate is 38 breaths/minute.
  d. The urine output is 400 mL after 2 hours.

Question 2

Which statement by a patient who had a cystoscopy the previous day should be reported immediately to the health care provider?
 
  a. My urine looks pink.
  b. My IV site is bruised.
  c. My sleep was restless.
  d. My temperature is 101.


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dyrone

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

ANS: C
The increased respiratory rate indicates that the patient may be experiencing an allergic reaction to the contrast medium used during the procedure. The nurse should immediately assess the patient's oxygen saturation and breath sounds. The other data are not unusual findings following an IVP.

Answer to Question 2

ANS: D
The patient's elevated temperature may indicate a bladder infection, a possible complication of cystoscopy. The health care provider should be notified so that antibiotic therapy can be started. Pink-tinged urine is expected after a cystoscopy. The insomnia and bruising should be discussed further with the patient but do not indicate a need to notify the health care provider.


jman1234

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Reply #2 on: Jun 25, 2018
Correct answers!


dyrone

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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