A nurse is monitoring a client during an IV urography procedure. Which of the following client reports is the priority finding?

Metallic taste in mouth

Abdominal fullness

Feeling flushed and warm

Swollen lips

Answer and Explanation

The Correct Answer is D

A. A metallic taste in the mouth is a common side effect of the contrast dye used in IV urography procedures and is not typically a cause for concern.

B. Abdominal fullness may occur due to the administration of fluids during the procedure and is not usually a priority finding unless it persists or is severe.

C. Feeling flushed and warm may be a transient reaction to the contrast dye and does not typically require immediate intervention unless accompanied by other symptoms.

D. Swollen lips could indicate an allergic reaction to the contrast dye, which can progress rapidly and potentially lead to a severe reaction such as anaphylaxis. This is the priority finding requiring immediate attention.

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Correct Answer is A

Explanation

A. Art therapist: Art therapy can provide a nonverbal outlet for expressing feelings and emotions, which can be particularly beneficial for clients with schizophrenia who may struggle with verbal communication.

B. Speech-language pathologist: While speech-language pathologists may assist with communication difficulties, their expertise is more focused on speech and language disorders rather than addressing emotional expression in clients with schizophrenia.

C. Social worker: Social workers provide support and assistance with various psychosocial

issues, but they may not specifically address the client's difficulty expressing feelings through therapeutic interventions like art therapy.

D. Recreational therapist: Recreational therapy focuses on promoting leisure and recreational

activities to improve overall well-being, but it may not directly address the client's difficulty with emotional expression.

A. Determine the client's pain level. B. Irrigate the wound with 0.9% sodium chloride irrigation. C. Apply skin preparation to wound edges. D. Don sterile gloves.

Correct Answer is A

Explanation

A. Assessing the client's pain level is the first step to ensure appropriate pain management during the procedure.

B. Irrigating the wound comes after assessing the client's pain level and preparing the wound for the dressing change.

C. Applying skin preparation to wound edges is part of the preparation process but should come after assessing the client's pain level.

D. Donning sterile gloves is necessary for the procedure but should come after assessing the client's pain level.

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A nurse is monitoring a client during an IV urography procedure. Which of the following client reports is the priority finding?

Nursing Test Bank

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