The nurse is caring for a client following an intravenous pyelogram (IVP) and obtains all of the following assessment data. Which of the following findings require immediate action by the nurse?
A)The heart rate is 58 beats/minute.
B)The respiratory rate is 38 breaths/minute.
C)The client complains of a dry mouth.
D)The urine output is 400 mL in the first 2 hours.

Question

Quizplus · Accepted Answer

The increased respiratory rate indicates that the client may be experiencing an allergic reaction (anaphylactic reaction) to the contrast medium used during the procedure. The nurse should immediately assess the client's oxygen saturation and breath sounds. The other data are not unusual findings following an IVP.

The Nurse Is Caring for a Client Following an Intravenous