A nurse is preparing a client for an intravenous pyelogram (IVP). What measure should the nurse employ?
A) Keep the client NPO (nothing by mouth) for at least 4 hours.
B) Avoid the use of laxatives before the procedure.
C) Provide the client with only a few sips of water if thirsty.
D) Determine whether the client is allergic to shellfish.
D
Feedback:
The nurse should determine whether the client is allergic to shellfish or iodine because the dye used in IVP is iodine based. The client should be kept NPO for 8 to 10 hours before the test, not just 4 hours. The client should take a laxative the night before the procedure to eliminate any feces or gas that could obstruct the view of urinary structures. The client should not swallow any water before the test. This could lead to inaccurate test results.
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