A patient is scheduled for MRI with gadolinium contrast. The nurse should review the medical record for which essential baseline test?
1. Kidney function
2. Chest X-ray
3. CBC with differential
4. Presence of pedal pulses
1
Rationale 1: Gadolinium is cleared through the renal system. People with reduced kidney function should not be exposed to this contrast medium.
Rationale 2: There is no indication that a chest X-ray is essential.
Rationale 3: CBC with differential is often drawn as part of admission lab but has no particular importance to the use of gadolinium.
Rationale 4: Checking for the presence of pedal pulses has no particular significance to the use of gadolinium.
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