Final answer:
Allergy to shellfish requires further screening before a CT scan with an IV contrast agent.
Step-by-step explanation:
The nurse should identify that allergy to shellfish requires further screening before the client undergoes a CT scan with an IV contrast agent. This is because IV contrast agents contain iodine, which can cause an allergic reaction in individuals with shellfish allergies. The nurse should assess the severity of the allergy and determine if any precautions or alternative imaging methods are necessary to ensure the client's safety.