The nurse is preparing a client with joint pain for an arthrogram. Which of the following is a nursing condition related to this test?

Question

A) Ask the client about sensitivities to food, iodine, latex, or medications.
B) Ask the client if he or she has metallic implants, such as orthopedic screws.
C) Ask the client to drink extra fluids to increase excretion of isotope.
D) Following the test, elevate the client's joint and apply ice to control edema.

Answer 1

A
Feedback:
An arthrogram requires the use of dye to determine joint condition. Before giving a radiopaque dye, the nurse should ask the client if he or she has any sensitivities to foods, especially any shellfish or medications containing iodine, as well as any sensitivities to latex or medications. Clients who have metallic implants, such as orthopedic screws, may not be eligible for MRI scanning. Severe damage and death can result if metallic implants are exposed to the intense magnetic fields of an MRI. Following a bone scan, the nurse should instruct the client to drink extra fluids, to increase excretion of the isotope. After arthroscopy, the nurse should elevate the client's joint and apply ice to control edema and pain.