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 D

Explanation

A. While sugar can raise blood glucose, it’s often not the most practical or readily available option in a clinical setting.
B. Graham crackers can be useful for longer-term glucose control but might not act as quickly as a liquid option.
C. Diet soda does not contain sugar and will not raise blood glucose levels.
D. Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.

A. A sonogram of the kidney B. ACT scan of the kidneys C. A midstream urine for culture D. An intravenous pyelogram for renal calculi

Correct Answer is C

Explanation

A. A sonogram may help identify kidney abnormalities but is not the initial test for suspected infection.
B. A CT scan may be needed for further evaluation but is typically not the first test ordered.
C. A midstream urine culture is often the initial diagnostic test for suspected urinary tract infections or pyelonephritis, based on symptoms of chills, fever, and flank pain.
D. An intravenous pyelogram is used to detect structural abnormalities, such as renal calculi, but is not the initial test for infection symptoms.

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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

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Explanation

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