NCLEX-RN

Category - Reduction of Risk

A client with abdominal enlargement is scheduled for abdominal angiography. The nurse prepares the client by:
  1. Performing an enema the night prior to the test.
  2. Checking for history of allergy to dyes and seafood.
  3. Instructing the client to fast for 12 hours prior.
  4. Advising the client to remove jewelry and other metal objects.
Explanation
Answer: B - Abdominal angiography involves visualization of the abdominal vasculature to determine the presence of aneurysms, arterial stenoses, cysts or tumors. To visualize the blood vessels, a contrast dye is injected into the vein; therefore, the nurse should check for history of allergy to dyes and seafood. Enema may be contraindicated in this client due to the unknown cause of abdominal enlargement. This is to avoid further stress on the abdomen. The client may need to fast post-midnight and eat a light and low-residue dinner. Metal objects and jewelries on the abdomen must be removed for better visualization of the abdomen.
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