The nurse is preparing a client with a decreased glomerular filtration rate for an intravenous pyelogram (IVP). Which of the following actions should be included in the plan of care?
A)Monitor the urine output after the procedure.
B)Assist with monitored anesthesia care (MAC).
C)Give oral contrast solution before the procedure.
D)Insert a large size urinary catheter before the IVP.

Question

Quizplus · Accepted Answer

Clients with impaired renal function are at risk for decreased renal function after IVP because the contrast medium used is nephrotoxic, so the nurse should monitor the client's urine output. MAC sedation and retention catheterization are not required for the procedure. The contrast medium is given intravenously, not orally.

The Nurse Is Preparing a Client with a Decreased Glomerular