A patient is scheduled for a computed tomography (CT) of the chest with contrast media. Which assessment findings should the nurse immediately report to the health care provider (select all that apply)?
a. Patient is claustrophobic.
b. Patient is allergic to shellfish.
c. Patient recently used a bronchodilator inhaler.
d. Patient is not able to remove a wedding band.
e. Blood urea nitrogen (BUN) and serum creatinine levels are elevated.
ANS: B, E
Because the contrast media is iodine-based and may cause dehydration and decreased renal blood flow, asking about iodine allergies (such as allergy to shellfish) and monitoring renal function before the CT scan are necessary. The other actions are not contraindications for CT of the chest, although they may be for other diagnostic tests, such as magnetic resonance imaging (MRI) or pulmonary function testing (PFT).
You might also like to view...
During a group session, a client becomes very angry at a comment by another member of the group. The therapist asks why the client became so angry. The group is using:
1. Events for emotional awareness. 2. Interpersonal conflict issues to resolve personal issues. 3. The self-reflective loop. 4. Fear.
Which of the following previous medical conditions would indicate a patient at risk for developing HIT?
a. Sepsis b. Deep vein thrombosis c. Cardiac arrest d. Pneumonia
The nurse comes on shift and finds an insulin drip infusing via IV pump. The bag is labeled 500 units of regular insulin in 100 mL of normal saline. The rate is set at 2 mL/hr. How many units of insulin is the client receiving per hour?
A. 10 B. 8 C. 5 D. 2
A client experiencing a difficult labor is going to have vacuum extraction to facilitate delivery. Which statement indicates that the client needs additional information about vacuum extraction assistance?
1. "The baby's head might have a bruise from the vacuum cup." 2. "The vacuum will be applied for a total of 10 minutes or less." 3. "I can stop pushing and just rest if the vacuum extractor is used." 4. "A small cup will be put onto the baby's head, and a gentle suction will be applied."