Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Genitourinary

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Paolo, a 37-year-old freelance writer, is scheduled for an intravenous pyelogram (IVP) to evaluate possible obstruction in the urinary tract. To prepare the client, the nurse will:

(Select all that apply.)
  1. Give a laxative and/or enemas starting the night before the procedure.
  2. Force fluids orally or by IV at least 4 hours before the test.
  3. Verify that an informed consent has been signed.
  4. Explain that there might be a salty taste in the mouth from the dye.
  5. Drape a lead apron over the pelvic area for radiation protection.
Explanation
Answer - A, C, D - (A) the bowel must be cleansed because stool could obscure the movement of the dye through the kidneys and bladder; (C) there are risks associated with the procedure and the nurse should always verify that the physician informed the client; (D) metallic taste, as well as flushing and burning can occur when the dye is injected; (F) hydration is important if the kidney is going to be able to excrete the dye. Choice B is incorrect because the client is NPO several hours before the test. Choice E is incorrect because a lead apron would prevent visualization of the area of interest.
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