When preparing a client for an intravenous pyelogram (IVP), it is essential for the nurse to take which action?
A.
Encourage the client to drink at least 3 to 4 liters of water prior to the procedure.
B.
Notify the healthcare provider if the client reports any allergies to iodine or shellfish.
C.
Instruct the client that it will be necessary to keep the legs straight for 6 to 8 hours after the procedure.
D.
Insert an indwelling urinary catheter prior to going to the X-ray department.
The correct answer and Explanation is :
The correct answer is B. Notify the healthcare provider if the client reports any allergies to iodine or shellfish.
Explanation:
An intravenous pyelogram (IVP) is a radiologic procedure used to visualize the kidneys, ureters, and bladder. It involves the injection of a contrast dye containing iodine into a vein, which then travels to the urinary system. This contrast dye enhances the X-ray images, allowing for better visualization of the urinary tract.
Reason for Correct Answer:
Iodine-based contrast media used in IVP can cause allergic reactions in some individuals. Allergies to iodine or shellfish are often noted because shellfish allergies can be associated with an increased risk of iodine sensitivity, although the connection is not universally strong. Regardless, it is critical to identify any potential allergies to the contrast media before proceeding with the IVP. If a client has a known allergy to iodine or shellfish, the healthcare provider can take necessary precautions, such as using an alternative contrast agent or preparing for immediate treatment of any allergic reactions.
Why Other Options Are Less Relevant:
A. Encouraging water intake: While adequate hydration is important for general kidney health and may help in the post-procedure phase to flush out the contrast dye, it is not a specific preparation requirement for an IVP.
C. Instructing on leg positioning: There is no requirement for the client to keep their legs straight for 6 to 8 hours after the procedure. Typically, no such prolonged positioning is required, although the client might need to follow other post-procedural instructions, like drinking fluids.
D. Inserting an indwelling urinary catheter: This is not a standard preparation step for an IVP. A urinary catheter is not typically used unless there is a specific reason for its placement, which would be determined based on the client’s condition and the healthcare provider’s judgment.
Therefore, the most essential action is to identify any potential allergies to the contrast dye to prevent adverse reactions during the procedure.