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Author Question: The nurse is reviewing teaching with a patient who is scheduled for an intravenous pyelogram. The ... (Read 52 times)

beccaep

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The nurse is reviewing teaching with a patient who is scheduled for an intravenous pyelogram. The nurse recognizes that further teaching is needed when the patient states, I will
 
  1. not drink any fluids for at least 12 hours before the procedure.
  2. start the bowel prep with a suppository the night before the procedure.
  3. take the prescribed laxative the morning of the procedure.
  4. not eat solid food for at least 8 hours before the procedure.

Question 2

The charge nurse overhears a graduate nurse completing an assessment with a patient scheduled to have an MRI of the kidneys. What question would require the charge nurse to intervene?
 
  1. When did you last have anything to eat or drink?
  2. Have you ever been treated for chest pain?
  3. Do you have any tattoos?
  4. Is there any possibility you could be pregnant?



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aloop

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Answer to Question 1

Correct Answer: 1
Tell the patient not to eat food for 8 to 12 hours prior to the test; clear liquids are allowed. Instruct the patient to complete ordered pretest bowel preparation the night before and morning of the test.

Answer to Question 2

Correct Answer: 1
There are no restrictions regarding food or fluids for this test. Patients with a history of chest pain should be asked if they have a prescription for transdermal nitroglycerin patches, which must be removed prior to the test. The nurse should assess for any metallic implants (such as pacemakers, clips on brain aneurysms, body piercings, tattoos, and shrapnel). If present, the nurse should notify the imaging physician. Ask if patient is pregnant; if so, the test is not performed.




aloop

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When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

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