Following an intravenous pyelogram (IVP) using contrast medium, the nurse should anticipate incorporating which of the following measures the client's plan of care?

Maintaining bed rest

Administering a laxative

Encouraging adequate fluid intake

Assessing for hematuria

Answer and Explanation

The Correct Answer is C

A. Maintaining bed rest is not typically required after an IVP unless otherwise indicated for the patient's condition.
B. Administering a laxative is not a standard intervention following an IVP unless the patient specifically requires it for bowel preparation or constipation.
C. Encouraging adequate fluid intake is crucial after the administration of contrast medium to help flush the kidneys and minimize the risk of contrast-induced nephropathy.
D. While assessing for hematuria may be appropriate, it is not a primary intervention directly related to the IVP procedure itself.

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Correct Answer is ["B","D"]

Explanation

A. Monitoring blood glucose levels is not directly related to managing fluid volume excess.
B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions.
C. Preparing for hemodialysis is only necessary for severe fluid overload unresponsive to other treatments.
D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
E. Changing IV fluids to D5W is not appropriate, as it could exacerbate fluid volume excess by increasing fluid load.

A. 16 units B. 42 units C. 26 units D. 32 units

Correct Answer is B

Explanation

A. Preparing only 16 units would mean administering just the regular insulin and not the NPH insulin, which is also prescribed.
B. The total number of insulin units is calculated by adding the units of regular insulin (16 units) and NPH insulin (26 units), resulting in 42 units to be administered together.
C. Preparing only 26 units would mean administering only the NPH insulin and not the regular insulin, which is not appropriate.
D. Preparing 32 units is incorrect as it does not accurately reflect the sum of both insulin types prescribed.

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Following an intravenous pyelogram (IVP) using contrast medium, the nurse should anticipate incorporating which of the following measures the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a client who has diabetes and a new prescription for 16 units of regular insulin and 26 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer is B

Explanation

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