A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
A) Monitor the patient's electrolyte values every hour before the procedure.
B) Preprocedure hydration and administration of acetylcysteine
C) Hemodialysis immediately prior to the CT scan
D) Obtain a creatinine clearance by collecting a 24-hour urine specimen.
Ans: B
Feedback:
Radiocontrast-induced nephropathy is a major cause of hospital-acquired acute kidney injury. Baseline levels of creatinine greater than 2 mg/dL identify the patient as being high risk. Preprocedure hydration and prescription of acetylcysteine (Mucomyst) the day prior to the test is effective in prevention. The nurse would not monitor the patient's electrolytes every hour preprocedure. Nothing in the scenario indicates the need for hemodialysis. A creatinine clearance is not necessary prior to a CT scan with contrast.
You might also like to view...
The client is to receive nitroglycerin 1/150 grain SL for chest pain stat. What is the abbreviation that will be found on the medication label?
A) g B) gr C) gm D) Gm
The nurse determines that which of the following patients would not be a candidate for beta-blocker therapy after a STEMI?
a. Patient with systolic blood pressures ranging from 160 to 180 b. Patient with new onset of complete heart block c. Patient with sinus tachycardia with a heart rate of 110 d. Patient whose echocardiogram demonstrates good left ventricular function
The nurse teaches an older patient with type 2 diabetes mellitus how to manage their diabetes when becoming acutely ill with a cold or other infection. Which statements indicate that instruction has been effective? Select all that apply.
1. "I should call the doctor if I have severe diarrhea." 2. "My blood glucose levels will not change when I'm ill." 3. "I should change my oral meds to insulin if I'm vomiting." 4. "A large amount of ketones in my urine is to be expected." 5. "I should not take my medication if I can't eat and call the doctor."
A client has a benign tumor that has originated in adipose tissue. The nurse explains that this type of tumor is classified as a
a. fibroma. b. lipoma. c. leiomyoma. d. carcinoma.