1. A patient is going to the medical center for an intravenous pyelogram (IVP).
ID: 59951 • Letter: 1
Question
1. A patient is going to the medical center for an intravenous pyelogram (IVP).
a. what nursing assessments and patient teaching should be completed before this test is preformed?
b. what are the nurses responsibilities for the patient following an IVP?
2. You will be working with unlicensed assistive personnel in an extended care setting.
a. what urinary care may be safely delegated by a nurse?
3. On an acute care unit, a patient is to have her catheter removed. The primary nurse tells you that all that is necessary is to "cut it, wait for the balloon to deflate, and pull it out."
a. how will you proceed with this catheter removal?
4. A clean-voided or midstream urine specimen is required from a male patient. He is able to perform activities of daily living, including hygienic care.
a. How will you teach this patient to obtain the specimen?
5. A patient had surgery and an incontinent urinary diversion was created.
a. What are the special needs for this patient and the interventions that you will implement?
Explanation / Answer
1.
An intravenous pyelogram (IVP) is an X-ray test usually done to observe the structures of urinary tract. A contrast material (dye) is injected into the vein. During the test, the patient will be asked to lie on a table, and compression belt is placed over stomach to retain the dye in the stomach.
After the test, the patients may feels weak, nauseated, for a short time after the test. The compression belt may cause feeling of tight and discomfort, patient must be telling about the possible discomforts.
The nurse must always check the radiation intensity, before surgeries. The patient must also be observed for hypersensitivity reactions.
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