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Soru

Zorluk: KolayReduction of Risk Potential

An adult client with pneumonia is prescribed a diagnostic chest imaging study using intravenous contrast dye. The morning metabolic panel reveals a serum creatinine level of 2.42.4 mg/dL. Which action is the priority for the practical nurse to take to reduce the client's risk for potential complications?

  1. A
    Document the result in the medical record and continue routine preparations for the imaging study.
  2. B
    Instruct the client to drink additional oral fluids to flush the kidneys prior to the test.
  3. Immediately communicate the abnormal laboratory finding to the supervising registered nurse.Cevap
  4. D
    Contact the laboratory department directly to order a repeat blood draw for confirmation.

Cevap

Immediately communicate the abnormal laboratory finding to the supervising registered nurse.
The serum creatinine level of 2.42.4 mg/dL is significantly elevated, indicating impaired kidney function. Because intravenous contrast dye is highly nephrotoxic, the practical nurse must immediately alert the registered nurse or healthcare provider to prevent contrast-induced nephropathy.

Adım Adım Çözüm

1
Identify the client's scheduled procedure and current laboratory values.
The client is scheduled for imaging with intravenous contrast and has a serum creatinine of 2.42.4 mg/dL.
Intravenous contrast dye is nephrotoxic and poses a high risk to clients with pre-existing kidney impairment.
2
Determine the normal reference range for serum creatinine.
The normal serum creatinine range is typically 0.60.6 to 1.21.2 mg/dL.
Recognizing that 2.42.4 mg/dL is significantly elevated is necessary for safe clinical reasoning.
3
Select the priority nursing intervention based on the practical nurse's scope of practice.
The nurse must immediately escalate the finding to the registered nurse or healthcare provider.
The provider may need to cancel the contrast study, order protective hydration protocols, or switch to a non-contrast imaging modality to prevent acute kidney injury.

Anahtar Kavram

Identifying critical laboratory values and escalating findings to prevent procedural complications.
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Konular

Reduction of Risk Potential

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