A client is diagnosed with chronic kidney disease, stage 5. The nurse knows at this stage the client will have to include which of the following in their treatment that has not been needed in previous stages?

Choice a reason: Administering the IV dye and closely monitoring the client for any allergic reactions is not the appropriate action. If the client has a known allergy to the dye, administering it can provoke a severe allergic reaction, including anaphylaxis, which can be life-threatening. Preemptively administering the dye without addressing the allergy can lead to significant risk for the patient and is not recommended.
Choice b reason: Administering a small test dose of the IV dye to determine if the client has a reaction is also inappropriate. A known allergy to IV dye should not be tested in this way, as even a small amount can trigger an allergic response. Allergic reactions to IV dye can be severe and testing the reaction is not a safe or effective approach.
Choice c reason: Notifying the healthcare provider and radiology department about the client's allergy is the appropriate action. This ensures that alternative imaging techniques or different contrast agents can be used to avoid triggering an allergic reaction. This step is essential for ensuring patient safety and effective care.
Choice d reason: Continuing with the CT scan as scheduled since IV dye allergies are rare and unlikely to occur is incorrect. If a client has a known allergy, disregarding this and proceeding with the scan poses a significant risk. Even if such allergies are rare, they can be severe, and patient safety protocols must be followed to prevent harm.

Choice a reason: Chest congestion is not a sign of cystitis. Chest congestion is typically associated with respiratory conditions, such as bronchitis or pneumonia, and involves the buildup of mucus in the lungs. Cystitis affects the urinary bladder, not the respiratory system.
Choice b reason: Fever can sometimes accompany cystitis, especially if the infection is severe or has spread to the kidneys (pyelonephritis). However, it is not the most common symptom of cystitis. The primary signs and symptoms of cystitis are related to the urinary tract.
Choice c reason: Abdominal pain can be a symptom of cystitis, particularly pain in the lower abdomen or pelvic region. This pain is due to inflammation and irritation of the bladder lining. While it is a common symptom, it is not the definitive sign of cystitis.
Choice d reason: Increased urinary frequency is a hallmark sign of cystitis. Patients with cystitis often feel the need to urinate more frequently than usual, even if the bladder is not full. This symptom is due to the irritation and inflammation of the bladder, leading to a persistent urge to urinate. Other symptoms that typically accompany this include a burning sensation during urination and urgency.