A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of $2.3 \mathrm{mg} / \mathrm{dL}$. In preparing this patient for the procedure, the nurse anticipates what orders?

Question

Quizplus · Accepted Answer

Radiocontrast-induced nephropathy is a major cause of hospital-acquired acute kidney injury. Baseline levels of creatinine greater than $2 \mathrm{mg} / \mathrm{dL}$ identify the patient as being high risk. Preprocedure hydration and prescription of acetylcysteine (Mucomyst) the day prior to the test is effective in prevention. The nurse would not monitor the patients electrolytes every hour preprocedure. Nothing in the scenario indicates the need for hemodialysis. A creatinine clearance is not necessary prior to a CT scan with contrast.

A Patient Is Scheduled for a CT Scan of the Abdomen