When preparing a patient for an X-ray of the lower extremities, the nurse should ask the patient to:

For an X-ray of the chest, the patient should wear loose-fitting clothing that does not contain any metal, such as zippers, buttons, or jewelry, to avoid interference with the X-ray image and ensure optimal visualization of the chest.

a. Refraining from eating or drinking for 24 hours before the procedure is not necessary for a chest X-ray, as it is a non-invasive procedure that does not require fasting.

c. While it is essential for the patient to lie still during the X-ray, this instruction is not specific to a chest X-ray; it applies to all X-ray procedures to prevent motion artifacts.

d. Emptying the bladder is not required for a chest X-ray, as the bladder is not in the field of view for this particular imaging procedure.

If the patient experiences an allergic reaction to the contrast medium used in an X-ray procedure, the radiographer should document the reaction in the patient's record and notify the radiologist or healthcare provider immediately. This ensures that appropriate medical attention and follow-up can be provided to the patient.

b. Administering an antihistamine is not within the scope of practice for a radiographer. Only qualified healthcare providers can administer medications and manage allergic reactions.

c. Repeating the X-ray with a lower concentration of contrast medium is not appropriate if the patient has experienced an allergic reaction. The use of contrast should be carefully reconsidered, and alternative imaging modalities may be considered.

d. Discharging the patient without any further intervention is not appropriate if they have experienced an allergic reaction. The patient's condition should be assessed, and appropriate medical care should be provided as needed.