The nurse is caring for a patient who has just had an intravenous pyelography (IVP) completed. Which assessment is the nurse's highest priority after the patient returns from the test?
A) Carefully calculate of the patient's intake and output.
B) Monitor for discoloration of the patient's urine.
C) Assess for possible iodine or shellfish allergies.
D) Inquire if the patient has burning or pain with urination.

Question

Quizplus · Accepted Answer

The nurse must carefully monitor the patient's intake and output after IVP testing to ensure that the patient's kidneys were not damaged by the contrast dye. PO fluid intake should be encouraged to facilitate excretion of the contrast dye. Burning or pain with urination should not occur after IVP testing because there is no instrumentation of the urinary tract. Assessment of allergies must be done before the IVP is done because iodine-based contrast is used.

The Nurse Is Caring for a Patient Who Has Just