The nurse should take precautions before the CT scan with contrast in clients with a history of chronic renal infections to minimize the risk of kidney damage.
Contrast agents used in the CT scan can cause kidney damage, especially in patients with chronic renal infections. the nurse should complete the following action before the procedure:
1. Assess the client's renal function: The nurse should assess the client's renal function by checking the creatinine levels, estimated glomerular filtration rate (eGFR), and blood urea nitrogen (BUN) levels. These tests will determine whether the client's kidneys are functioning correctly.
2. Hydrate the client: The nurse should ensure that the client is adequately hydrated before the CT scan. Adequate hydration helps to flush out the contrast agent from the client's system, reducing the risk of kidney damage.
3. Check for allergies: The nurse should ask the client if they have any allergies to the contrast agent used in the CT scan. If the client has allergies, alternative options can be explored.
4. Monitor the client post-procedure: The nurse should closely monitor the client post-procedure, checking for any adverse reactions to the contrast agent.
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Between contractions that are 2 to 3 minutes apart and last about 45 seconds the internal fetal monitor shows a fetal heart rate (fhr) of 100 beats/min. which is the priority nursing action
The priority nursing action in this situation is to assess the mother and fetus for any signs of distress, as the FHR of 100 beats/min is considered low (the normal range is 110-160 beats/min).
1. Notify the healthcare provider of the low FHR.
2. Reposition the mother to enhance blood flow to the fetus (e.g., left lateral position).
3. Administer oxygen to the mother, as prescribed, to increase oxygenation to the fetus.
4. Monitor contractions and the FHR closely using the internal fetal monitor to detect any changes.
5. Ensure IV access is available for the administration of fluids or medications, as needed.
6. Provide emotional support and education to the mother about the situation and nursing interventions.
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