Page 1823 - Saunders Comprehensive Review For NCLEX-RN

measuring the volume of urine in the bladder.
2. Bladder ultrasonography may be performed to
evaluate urinary frequency, inability to urinate, or
amount of residual urine (the amount of urine
remaining in the bladder after voiding).
L. Intravenous urography
1. Description: An x-ray procedure in which an
intravenous (IV) injection of a radiopaque dye is used
to visualize and identify abnormalities in the renal
system.
2. Preprocedure interventions
a. Verify that an informed consent was
obtained.

b. Assess the client for allergies to

iodine, seafood, and radiopaque dyes
and contraindications for the test,
including a positive pregnancy test;
cautions include medical history of
asthma, significant cardiac disease,
and renal insufficiency.
c. Withhold food and fluids for the time
prescribed.
d. Administer laxatives if prescribed.
e. Inform the client about possible throat
irritation, flushing of the face, warmth,
or a salty or metallic taste during the
test.
3. Postprocedure interventions
a. Monitor vital signs.

b. Instruct the client to drink at

least 1 L of fluid unless
contraindicated.
c. Monitor urinary output.
d. Monitor for signs of a possible allergic
reaction to the dye used during the test
and instruct the client to notify the
PHCP if any signs of an allergic
reaction occur.

e. Contrast dye is potentially

damaging to kidneys; the risk is
greater in older clients and those
experiencing dehydration.

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