Ms. Margaret Shawn, a 45-year-old librarian, was ordered by her physician to undergo an oral cholecystography. Which nursing action is inappropriate in preparing Ms. Shawn for this procedure?
  1. Administering a fat-free diet the evening before the test
  2. Administering Telepaque (iopanoic acid) tablets in 5-minute intervals 1 hour after supper
  3. Administering at least 6 oz. of water with each Telepaque (iopanoic acid) tablet
  4. Allowing the client, after ingesting the tablets, to drink water until midnight, then NPO
Explanation
Answer - C - Drinking 6 oz with each pill is too much. Iopanoic acid (Telepaque) tablets are administered 1 hour after eating a fat-free meal (Choices A and B), one at a time, and in 5-minute intervals, with a minimal amount of water (usually 8 oz) to swallow all the tablets. Water is allowed until bedtime (Choice D), but food is withheld to allow as much dye as possible to concentrate in the gallbladder. The next morning an initial X-ray is taken, after which the client is given a fatty meal and several more pictures are taken to observe the functioning of the gallbladder.
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