Patient Care During Urologic Testing with Contrast Agents

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Questions and Answers

What is a common side effect that patients may experience when contrast agent is infused during a radiographic procedure?

  • Temporary feeling of numbness in the extremities
  • Temporary headache and blurred vision
  • Temporary feeling of coldness and dizziness
  • Temporary feeling of warmth, flushing of the face, and an unusual flavor in the mouth (correct)

What is advised for patients prior to an MRI of the urinary system?

  • Continue taking usual medication except for iron supplements (correct)
  • Avoid caffeine-containing beverages for at least 1 hour before the scan
  • Avoid food for at least 2 hours before the scan
  • Avoid iron supplements only

What does a nuclear scan using technetium 99m provide information about?

  • Blood flow before kidney transplantation
  • Kidney function (correct)
  • Chronic kidney injury
  • Renal masses

What is encouraged for patients after a nuclear scan to promote excretion of the radioisotope by the kidneys?

<p>Drink fluids (D)</p> Signup and view all the answers

What type of contrast agent is used in IV urography?

<p>Radiopaque contrast agent (B)</p> Signup and view all the answers

What can an IVP show during an IV urography test?

<p>Kidneys, ureter, and bladder via x-ray imaging (B)</p> Signup and view all the answers

What emergency supplies should be available in case of an anaphylactic reaction to the contrast agent during urologic testing?

<p>Epinephrine, corticosteroids, vasopressors, oxygen, and airway and suction equipment (A)</p> Signup and view all the answers

Why should contrast agents be used with great caution in older patients and in those with renal impairment?

<p>To prevent contrast-induced nephropathy (B)</p> Signup and view all the answers

Which medications should be discontinued before contrast media administration to prevent adverse effects?

<p>Nephrotoxic medications like vancomycin, amphotericin B, metformin, and NSAIDs (A)</p> Signup and view all the answers

Why is it important to obtain the patient's allergy history with emphasis on iodine, shellfish, and seafood allergies before urologic testing with contrast agents?

<p>To assess the risk of allergic reactions to the contrast agent (B)</p> Signup and view all the answers

Why should patients at risk of contrast-induced nephropathy receive IV hydration prior to the procedure?

<p>To maintain kidney function and reduce nephrotoxicity risk (D)</p> Signup and view all the answers

Why is it essential to notify the primary provider and radiologist if a patient is allergic or suspected to be allergic to iodine before urologic testing?

<p>To ensure appropriate emergency measures are in place (B)</p> Signup and view all the answers

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