The physician orders an intravenous pyelogram (IVP). What questions do you need to ask
S.R. before the test is conducted? What blood test results do you need to check before she has
an IVP?
What will be an ideal response?
• "Are you allergic to anything?" Specifically ask about an allergic reaction to shellfish, iodine, and
IVP contrast dye.
• "Are you diabetic and on metformin (Glucophage)?" If the patient is diabetic or taking metformin,
the metformin must be stopped at least 48 hours before the study because of the risk of renal
damage. Follow the facility protocol.
• Blood might be drawn to check serum creatinine and BUN to assess renal function before the test.
• "Are you or could you be pregnant?" Complete a pregnancy test to verify results. If she is pregnant,
a renal ultrasound should be conducted.
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A diabetic client maintains glucose control with the use of long-acting and short-acting insulin. Which nursing instruction would be considered a priority teaching issue for this client?
A) Mix short-acting and long-acting insulin. B) Monitor blood glucose levels immediately following injection. C) Use stomach for nighttime injections. D) If using Lantus or Levemir, give in separate syringe.
Secondary prevention strategies commonly used for women's health care include
1. AIDS prevention classes. 2. Contraception counseling and distribution. 3. Mammography. 4. Nutrition education.
Weakness on one side of the body that may develop after a stroke is
A. hemiparesis. B. paraparesis. C. hemiplegia. D. paraplegia.
Which statement by the nurse is most appropriate to a 15-year-old whose friend has mentioned suicide?
a. "Tell your friend to come to the clinic immediately." b. "You need to gather details about your friend's suicide plan." c. "Your friend's threat needs to be taken seriously and immediate help for your friend is important." d. "If your friend mentions suicide a second time, you will want to get your friend some help."