What staff member should the nurse on the postoperative unit assign to do a follow-up assessment for a patient who has returned home after having an intravenous pyelogram 24 hours ago?
1. RN floating from the immunology unit
2. LPN floating from the nephrology unit
3. LPN floating from the pulmonology unit
4. RN floating from the orthopedic unit
Correct Answer: 1
Delayed reactions to contrast dyes containing iodine can occur. The most appropriate staff member to follow up with the patient is the RN from the immunology unit. This RN will have extensive experience with hypersensitivity reactions and is best prepared to meet the needs of the patient. Prior to discharge the nurse should instruct the patient to contact the healthcare provider for any delayed reactions to the dye (breathing difficulty, rash, itching, rapid heartbeat). The other staff may not have the necessary experience to follow-up with the patient.
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