When preparing a patient for an intravenous pyelogram (IVP), the nurse reviews diagnostic data. Which finding should the nurse report to the healthcare provider before sending the patient for the test?
1. blood urea nitrogen (BUN) 55 mg/dL
2. serum creatinine 1.3 mg/dL
3. urine culture <10,000 organisms/mL
4. residual urine of 80 mL
Correct Answer: 1
Blood urea nitrogen (BUN) of 55 mg/dL indicates that there might be a problem of renal function. The healthcare provider will need to be notified because an IVP involves the injection of dye that must eventually be cleared by the kidney; if there is already compromised renal function, the test may not be administered. Serum creatinine 1.3 mg/dL, urine culture <10,000 organisms/mL, and residual urine of 80 mL are all within the normal range and do not need to be reported to the healthcare provider.
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