A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?

The procedure will be cancelled if the urinalysis indicates the presence of red blood cells.

You will be able to resume your regular diet as soon as the test is complete.

High-frequency sound waves will be used to identify renal system structures.

After the procedure, you will be encouraged to drink plenty of fluids.

Answer and Explanation

The Correct Answer is D

Choice A reason: The procedure will be cancelled if the urinalysis indicates the presence of red blood cells

This statement is incorrect. The presence of red blood cells in the urine does not necessarily cancel an intravenous pyelogram (IVP). The test is often used to diagnose conditions that might cause blood in the urine, such as kidney stones or tumors. Therefore, this statement does not accurately reflect the procedure’s protocol.

Choice B reason: You will be able to resume your regular diet as soon as the test is complete

This statement is correct. After an IVP, clients can typically resume their regular diet unless otherwise instructed by their healthcare provider. However, this is not the most critical piece of information for the client to understand about the procedure.

Choice C reason: High-frequency sound waves will be used to identify renal system structures

This statement is incorrect. An IVP uses X-rays and a contrast dye to visualize the urinary tract, not high-frequency sound waves. High-frequency sound waves are used in ultrasound imaging, which is a different diagnostic procedure.

Choice D reason: After the procedure, you will be encouraged to drink plenty of fluids

This statement is correct and important. After an IVP, clients are encouraged to drink plenty of fluids to help flush the contrast dye out of their system and reduce the risk of kidney damage. This is a crucial part of post-procedure care and should be emphasized to the client.

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Free Nursing Study Resources

Correct Answer is ["5.3"]

Explanation

Step 1: Convert the child’s weight from pounds to kilograms.

Weight in pounds = 28 lb
Conversion factor = 1 kg ÷ 2.2 lb
Weight in kilograms = 28 lb ÷ 2.2
Result: 12.727 kg (rounded to three decimal places)

Step 2: Calculate the dose of acetaminophen in mg.

Dose required = 10 mg × Weight in kg
Dose required = 10 mg × 12.727 kg
Result: 127.27 mg (rounded to two decimal places)

Step 3: Determine the volume of acetaminophen solution needed in mL.

Concentration of acetaminophen = 120 mg ÷ 5 mL
Volume required (mL) = Dose required (mg) ÷ Concentration (mg/mL)
Volume required (mL) = 127.27 mg ÷ (120 mg ÷ 5 mL)
Result: 127.27 mg ÷ 24 mg/mL
Result: 5.303 mL (rounded to three decimal places)

Step 4: Round the volume to the nearest tenth.

Rounded result: 5.3 mL

Final Answer: The nurse should administer 5.3 mL of acetaminophen.

A. Pulmonary edema B. An upper respiratory infection C. Atelectasis D. Delayed gastric emptying

Correct Answer is C

Explanation

Choice A reason: Pulmonary edema is a condition where fluid accumulates in the lung tissues, leading to symptoms such as shortness of breath, wheezing, and coughing up frothy sputum. While pulmonary edema can cause decreased breath sounds, it is more commonly associated with crackles or rales rather than decreased breath sounds in the lower lobes.

Choice B reason: An upper respiratory infection typically affects the upper part of the respiratory system, including the sinuses, throat, and larynx. Symptoms often include a runny nose, sore throat, and cough. It is less likely to cause decreased breath sounds in the lower lobes of the lungs.

Choice C reason: Atelectasis is the collapse of a part or all of a lung, leading to reduced or absent gas exchange. It is a common complication in clients who have been on bedrest for several days, as immobility can lead to mucus buildup and blockage of the airways. Decreased breath sounds in the lower lobes are a typical finding in atelectasis.

Choice D reason: Delayed gastric emptying (gastroparesis) is a condition where the stomach takes too long to empty its contents8. It is characterized by symptoms such as nausea, vomiting, and abdominal bloating. This condition does not typically affect breath sounds in the lungs.

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A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?

Correct Answer is C

Explanation

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