A client with acute renal failure is undergoing a computed tomography (CT) scan with contrast dye. What precaution should the nurse take before the procedure?
Withhold all food and drink for 24 hours.
Assess the client's allergies, especially to iodine and shellfish.
Administer intravenous fluids to prevent dehydration.
Have the client remove all jewelry and metallic objects.
The Correct Answer is B
A. Incorrect. Withholding food and drink for 24 hours is not necessary for a CT scan with contrast dye.
B. Correct. Before a CT scan with contrast dye, it is essential to assess the client for allergies, especially to iodine and shellfish. Contrast dyes used in CT scans contain iodine, and clients with allergies to iodine or shellfish may have an allergic reaction to the contrast dye.
C. Incorrect. While administering intravenous fluids may be beneficial in certain situations, it is not a specific precaution for a CT scan with contrast dye.
D. Incorrect. Removing jewelry and metallic objects is a standard precaution for all imaging procedures, but it is not specific to a CT scan with contrast dye.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. While fluid restriction may be necessary in certain cases of acute renal failure, it should be prescribed and monitored by the healthcare provider based on the client's specific needs.
B. Incorrect. A high-protein diet can put additional strain on the kidneys, and it is not recommended for clients with acute renal failure.
C. Incorrect. Over-the-counter diuretics may not be safe for clients with acute renal failure and can lead to further electrolyte imbalances.
D. Correct. The nurse's best response is to encourage the client to follow their healthcare provider's instructions and avoid medications that may harm the kidneys. Compliance with prescribed treatment plans and avoiding nephrotoxic medications are essential to support kidney function and prevent further damage.
Correct Answer is B
Explanation
A. Incorrect. Hemodialysis is not a procedure for kidney transplantation.
B. Correct. Hemodialysis is a treatment that helps remove waste products, toxins, and excess fluids from the blood when the kidneys are not functioning properly. It helps maintain the body's internal environment and prevent complications of acute renal failure.
C. Incorrect. While hemodialysis can improve kidney function temporarily, its primary purpose is to provide kidney support and replace some of the kidney's functions.
D. Incorrect. The description provided refers to the insertion of a urinary catheter for bladder drainage, not hemodialysis.
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