A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram.
Which of the following statements by the client indicates an understanding of the teaching?
A.
“I can have a meal up to 2 hours before the procedure.”
B.
“I will feel a warming sensation after the injection of the dye.”
C.
“I do not need to sign a consent form before this procedure.”
D.
“I should limit my fluid intake for 2 days after the procedure.”
The Correct Answer and Explanation is:
The correct answer is:
B. “I will feel a warming sensation after the injection of the dye.”
Explanation:
An Intravenous Pyelogram (IVP), also known as an intravenous urography, is a radiological procedure used to visualize the urinary tract, including the kidneys, ureters, and bladder. It involves the injection of a contrast dye into a vein, which then travels through the bloodstream and is filtered by the kidneys. The dye helps to enhance the images of the urinary system on X-rays.
Here’s a detailed explanation for each option:
A. “I can have a meal up to 2 hours before the procedure.”
- This statement is incorrect. Prior to an IVP, patients are usually required to fast for several hours, typically 8-12 hours, to ensure that the stomach and intestines are clear of food. This fasting helps in obtaining clearer images and reduces the risk of complications during the procedure.
B. “I will feel a warming sensation after the injection of the dye.”
- This statement is correct. One of the common sensations experienced during an IVP is a temporary warming feeling or flushing sensation. This occurs due to the contrast dye being injected into the bloodstream. The sensation is usually brief and is a normal part of the procedure.
C. “I do not need to sign a consent form before this procedure.”
- This statement is incorrect. Informed consent is a critical aspect of any medical procedure, including an IVP. Patients need to be informed about the procedure, its risks, benefits, and alternatives before they consent to it. The consent form ensures that the patient understands and agrees to the procedure.
D. “I should limit my fluid intake for 2 days after the procedure.”
- This statement is incorrect. After an IVP, patients are generally encouraged to drink plenty of fluids to help flush the contrast dye out of their system and to prevent dehydration. Limiting fluid intake is not recommended and could potentially lead to complications.
In summary, understanding that a warming sensation is a normal part of the IVP procedure (option B) indicates that the client has been appropriately educated about the procedure.