What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

Administer the IV dye and closely monitor the client for any allergic reactions

Administer a small test dose of the IV dye to determine if the client has a reaction

Notify the healthcare provider and radiology department about the client's allergy

Continue with the CT scan as scheduled since IV dye allergies are rare and unlikely to occur

Answer and Explanation

The Correct Answer is C

Choice a reason: Administering the IV dye and closely monitoring the client for any allergic reactions is not the appropriate action. If the client has a known allergy to the dye, administering it can provoke a severe allergic reaction, including anaphylaxis, which can be life-threatening. Preemptively administering the dye without addressing the allergy can lead to significant risk for the patient and is not recommended.
Choice b reason: Administering a small test dose of the IV dye to determine if the client has a reaction is also inappropriate. A known allergy to IV dye should not be tested in this way, as even a small amount can trigger an allergic response. Allergic reactions to IV dye can be severe and testing the reaction is not a safe or effective approach.
Choice c reason: Notifying the healthcare provider and radiology department about the client's allergy is the appropriate action. This ensures that alternative imaging techniques or different contrast agents can be used to avoid triggering an allergic reaction. This step is essential for ensuring patient safety and effective care.
Choice d reason: Continuing with the CT scan as scheduled since IV dye allergies are rare and unlikely to occur is incorrect. If a client has a known allergy, disregarding this and proceeding with the scan poses a significant risk. Even if such allergies are rare, they can be severe, and patient safety protocols must be followed to prevent harm.

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Correct Answer is D

Explanation

Choice a reason: Decreased blood glucose levels are not a common side effect of peritoneal dialysis. While blood glucose monitoring is important for clients undergoing dialysis, particularly those with diabetes, peritoneal dialysis typically does not lead to hypoglycemia. In fact, the dialysis solution used often contains glucose, which can actually increase blood glucose levels.
Choice b reason: Increased urine output is not a side effect associated with peritoneal dialysis. Many clients with end-stage renal disease have reduced urine output due to declining kidney function. Peritoneal dialysis helps to remove waste products and excess fluid from the body, but it does not typically result in increased urine production.
Choice c reason: Hypertension is not directly caused by peritoneal dialysis. While blood pressure management is crucial for clients with chronic kidney disease, the dialysis process itself does not inherently lead to hypertension. Other factors, such as fluid overload or underlying medical conditions, are more likely to contribute to high blood pressure in these clients.
Choice d reason: Abdominal pain is a potential side effect of peritoneal dialysis. The dialysis process involves the infusion of dialysis solution into the peritoneal cavity, which can cause discomfort or pain in some clients. This pain may be due to the catheter, the volume of fluid, or irritation of the peritoneal lining. Proper technique and monitoring can help manage and minimize this discomfort.

A. Encouraging fluid intake to increase urine output B. Providing frequent reminders for the client to use the restroom C. Encouraging the client to perform Kegel exercises regularly D. Limiting the client's access to the restroom to promote bladder control

Correct Answer is C

Explanation

Choice a reason: Encouraging fluid intake to increase urine output is not the most effective intervention for managing urinary incontinence. While adequate hydration is important, simply increasing fluid intake can exacerbate the symptoms of incontinence and lead to more frequent episodes of urine leakage.
Choice b reason: Providing frequent reminders for the client to use the restroom can be helpful in managing incontinence, especially in individuals who may have cognitive impairments or are forgetful. However, it is not the most effective intervention compared to exercises that strengthen the pelvic floor muscles.
Choice c reason: Encouraging the client to perform Kegel exercises regularly is the most appropriate intervention for managing urinary incontinence. Kegel exercises help strengthen the pelvic floor muscles, which support the bladder and urethra, and can improve bladder control. Regular practice of these exercises has been shown to reduce the symptoms of incontinence significantly.
Choice d reason: Limiting the client's access to the restroom to promote bladder control is not an appropriate intervention. This approach can increase the risk of urinary retention and lead to complications such as urinary tract infections. It is more important to promote regular voiding patterns and encourage the use of techniques that improve bladder control.

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What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a potential side effect of peritoneal dialysis?

Correct Answer is D

Explanation

Which of the following nursing interventions is appropriate for managing urinary incontinence?

Correct Answer is C

Explanation

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