A client is in the emergency department with a suspected kidney stone and is scheduled for an intravenous pyelogram (IVP). Pre-procedure, which action is most important for the nurse to do? The nurse should
a. ask the client about iodine allergies.
b. administer a laxative.
c. document the history of the client's complaint.
d. insert a Foley catheter.
A
Iodine-based IV contrast dye is used in an IVP. Clients with iodine allergies can have potentially fatal allergic reactions to the dye. Documenting the client's complaint is an important action also, but client safety is the priority. Foley catheters are not inserted before an IVP, and the client in the emergency department would not be given a pre-IVP laxative.
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