A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
"The last time I voided it was painful and red-tinged.”.
"My period ended 2 days ago.”.
"I drink at least 2 quarts of fluid every day.”.
"I don't eat shellfish because it gives me hives.”.
The Correct Answer is D
Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
HIV is primarily transmitted through direct contact with infected body fluids, such as blood, semen, vaginal fluids, and breast milk. This can occur during unprotected sex, sharing of needles, or from mother to child during childbirth or breastfeeding.
Choice B rationale:
Mosquitoes do not transmit HIV. The virus does not replicate or survive well within insects.
Choice C rationale:
Casual contact, such as hugging, shaking hands, or sharing dishes, does not lead to HIV transmission.
Choice D rationale:
Accidental puncture wounds can potentially transmit HIV, but this is not the primary mode of transmission. It’s more common in healthcare settings where workers might be exposed to needlestick injuries.
Correct Answer is D
Explanation
Choice A rationale:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.
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