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A nurse is caring for a 9-year-old girl scheduled for an intravenous pyelogram (IVP). Which of the following is a priority when preparing this child for the test?

A) Checking with her parents for any allergies
B) Ensuring adequate hydration
C) Giving her an enema
D) Screening the girl for pregnancy

1 Answer

2 votes

Final answer:

The priority when preparing a 9-year-old girl for an IVP is ensuring she is adequately hydrated, although checking for allergies is also essential. An enema may be required, and pregnancy screening is not typically a priority in this age group.

Step-by-step explanation:

When preparing a 9-year-old girl for an intravenous pyelogram (IVP), the priority is ensuring adequate hydration. Adequate hydration is crucial as it affects the kidney's ability to process the contrast dye used during an IVP. However, it's also vital to check for any allergies, especially to iodine-based contrast dyes which are commonly used in IVPs.

An enema may be necessary depending on the protocols of the facility to ensure the bowel is clear and does not interfere with the imaging. Screening for pregnancy is typically not a priority in a 9-year-old.

In terms of hydration, a dehydrated patient may receive intravenous fluids, as sufficient fluid intake is essential for both the test accuracy and the patient’s health.

Ensuring that no equipment issues need to be addressed and that all procedural items are correctly labeled and accounted for is also an important part of pre-test preparation.

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