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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice a reason: Starting the flow of urine before passing the container under the stream to collect the specimen is an appropriate instruction. This technique is recommended to ensure that the initial part of the urine, which may contain contaminants from the urethral opening, is not collected. By allowing the first part of the urine to flow into the toilet, the midstream portion is considered cleaner and more representative for diagnostic testing.
Choice b reason: Removing the specimen container before stopping the stream of urine is also an appropriate instruction. This helps to ensure that only the midstream portion of the urine is collected, minimizing the risk of contamination from the skin or other surfaces. It also prevents the urine from splashing or overflowing, which could potentially contaminate the sample or the surrounding area.
Choice c reason: Using the provided towelette to cleanse the area by moving in a back-and-forth motion is incorrect and requires intervention. The proper technique for cleansing the area involves using the towelette to wipe from front to back in a single, continuous motion. This helps to reduce the risk of introducing bacteria from the perineal area into the urinary tract, which can lead to inaccurate test results or urinary tract infections.
Choice d reason: Instructing the client to use their non-dominant hand to spread the labia is an appropriate instruction. This technique helps to ensure that the urinary meatus is exposed and that the urine flows directly into the specimen container. Using the non-dominant hand allows the dominant hand to be used for holding and positioning the specimen container, making the process more manageable and reducing the risk of contamination.

A. Maintain IV fluids and encourage oral fluids B. Promote assisted ambulation as tolerated C. Strain urinary output and observe for stones D. Administer prescribed narcotic medication

Correct Answer is C

Explanation

Choice a reason: Maintaining IV fluids and encouraging oral fluids is important for patients with renal colic to ensure hydration and facilitate the passage of kidney stones. However, it is not the most immediate action to take for managing the patient's current condition, which includes severe pain and hematuria.
Choice b reason: Promoting assisted ambulation as tolerated can help in the movement and passage of kidney stones. Nevertheless, it is not the priority action to take initially when the patient is experiencing severe pain and there is a need to identify the cause of the hematuria.
Choice c reason: Straining urinary output and observing for stones is the most appropriate initial action. This allows the nurse to collect any stones that pass, which can then be analyzed to determine their composition. Understanding the type of stone can help in planning further treatment and preventive measures. Identifying and collecting the stones is crucial for proper diagnosis and management of renal colic.
Choice d reason: Administering prescribed narcotic medication is essential for managing severe pain associated with renal colic. Pain management is a critical component of care. However, while it is necessary, it should be accompanied by straining the urine to detect any stones and understand the underlying cause of the symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

Correct Answer is C

Explanation

The nurse is providing care for a patient admitted with severe flank pain identified as renal colic. Urinalysis is positive for microscopic hematuria. Which action should the nurse take?

Correct Answer is C

Explanation

The nurse is visiting a patient who performs peritoneal dialysis at home. The nurse is evaluating the patient's technique. Which finding requires additional teaching?

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

What is the purpose of a renal biopsy?

A client is diagnosed with chronic kidney disease, stage 5. The nurse knows at this stage the client will have to include which of the following in their treatment that has not been needed in previous stages?

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

A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching?

A client with CKD who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is elevated. Which of the following foods could be given? Select all that apply.

Which of the following is a risk factor for urinary tract infections (UTIs)?