Author Question: A nurse is preparing a client for an intravenous pyelogram (IVP). What measure should the nurse ... (Read 83 times)

123654777 · **on:** Jul 16, 2018

A nurse is preparing a client for an intravenous pyelogram (IVP). What measure should the nurse employ?

A) Keep the client NPO (nothing by mouth) for at least 4 hours.
B) Avoid the use of laxatives before the procedure.
C) Provide the client with only a few sips of water if thirsty.
D) Determine whether the client is allergic to shellfish.

Question 2

Which of the following hospice care team members provides a constant liaison between the client and the hospice team and may suggest approaches to care that meet with everyone's approval?

A) Caregiver
B) Primary care provider
C) Nurse
D) Home health aide

DHRUVSHAH · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

D
Feedback:
The nurse should determine whether the client is allergic to shellfish or iodine because the dye used in IVP is iodine based. The client should be kept NPO for 8 to 10 hours before the test, not just 4 hours. The client should take a laxative the night before the procedure to eliminate any feces or gas that could obstruct the view of urinary structures. The client should not swallow any water before the test. This could lead to inaccurate test results.

Answer to Question 2

A
Feedback:
Primary (family) caregivers are vital to the client's care. They provide a constant liaison between the client and the hospice team and may suggest approaches to care that meet with everyone's approval. Caregivers often can identify changes in the client's condition that might not be noticeable to others.