Immediately after an intravenous pyelogram (IVP) the nurse should observe the client for which of the following?
1. Infection in the urinary bladder
2. An allergic reaction to the contrast material
3. Urinary suppression caused by injury to kidney tissues
4. Incontinence as a result of paralysis of the urinary sphincter
ANS: 2
After an IVP the nurse should encourage fluid intake to dilute and flush dye from the client and observe the client for late symptoms of allergy (e.g., rash). There is no increased risk for infection of the urinary bladder from an IVP. This would be more likely with an invasive procedure, such as an endoscopy (cystoscopy). An IVP should not injure tissues of the kidney or cause paralysis of the urinary sphincter.
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