Question

A client with cancer is to undergo an intravenous pyelogram. The nurse should: A. Force fluids 24 hours before the procedure B. Ask the client to void immediately before the study C. Hold medication that affects the central nervous system for 12 hours pre- and post-test D. Cover the client's reproductive organs with an \(x\)-ray shield

Short answer

Answer: The correct procedure is to cover the patient's reproductive organs with an x-ray shield, which protects them from radiation exposure during the test.

Step-by-step solution

Understanding the test

An intravenous pyelogram (IVP) is an x-ray exam that uses a special dye to outline the kidneys, ureters, and bladder. It helps detect tumors, structural abnormalities, infections, and blockages.

Analyzing the answer choices

Let's examine the possible answer choices. Option A: While hydration is generally beneficial, forcing fluids 24 hours before the procedure isn't typically recommended as there isn't a substantial advantage or necessity for the test results. Option B: Asking the client to void immediately before the study is not a necessary step for IVP. Urination immediately before the test does not necessarily affect the procedure or the results. Option C: Holding medication that affects the central nervous system 12 hours before and after the test is not a common prerequisite for IVP. The test requires an iodine-based contrast dye, which is not commonly known to interact with such medicines. Option D: Due to the use of x-ray technology, it is a standard procedure to shield the reproductive organs to reduce the risk of radiation exposure.

Choosing the correct answer

Based on the analysis of the options, the most correct procedure is Option D - cover the client's reproductive organs with an x-ray shield. Other options do not form an integral part of the standard preparation for an intravenous pyelogram.

Conclusion

It can be concluded that, while preparing a patient for an Intravenous Pyelogram, it's important to protect the patient's reproductive organs due to the x-ray radiation used in the procedure, to prevent potential damage. Always follow the clinical guidelines and standard procedures in hospital settings. This is essential for the safety of patients and to ensure the most accurate results from diagnostic tests.