/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 257 A 72-year-old client is schedule... [FREE SOLUTION] | 91Ó°ÊÓ

91Ó°ÊÓ

A 72-year-old client is scheduled for a CT scan with contrast media. Prior to the test, the nurse checks to ascertain that which laboratory tests have been done? Mark all that apply. A. ___ Urinalysis B. ___ Fasting blood sugar C. ___ BUN D. ___ Aspartate aminotransferase (AST) E. ___ Alanine aminotransferase (ALT) F. ___ Creatinine

Short Answer

Expert verified
C. BUN and F. Creatinine

Step by step solution

01

Identifying Required Lab Tests for Contrast Media

Patients scheduled for a CT scan with contrast media need to have certain lab tests to ensure their kidney function is adequate to handle the contrast. The critical lab tests include Blood Urea Nitrogen (BUN) and Creatinine levels as these indicate kidney function.
02

Understanding BUN and Creatinine

BUN (Blood Urea Nitrogen) and Creatinine are waste products that the kidneys normally filter out of the blood. High levels of these can suggest compromised kidney function. Therefore, checking BUN and Creatinine levels before administering contrast media is necessary.
03

Evaluating Other Lab Tests

Urinalysis, fasting blood sugar, Aspartate Aminotransferase (AST), and Alanine Aminotransferase (ALT) are not directly related to assessing kidney function prior to a CT scan with contrast media. Thus, they are not the priority tests in this context.
04

Marking the Answers

Based on the explanation in previous steps, the necessary labs to check before a CT scan with contrast media are BUN and Creatinine.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91Ó°ÊÓ!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

kidney function tests
Prior to undergoing a CT scan with contrast media, it is crucial to ensure that the kidneys are functioning properly. This is done by measuring specific laboratory tests, primarily focusing on assessing kidney function. These key tests help determine if the kidneys can handle the contrast media safely, preventing potential complications. Without adequate kidney function, using contrast media can lead to severe problems such as acute kidney injury. The primary tests performed for this purpose are the Blood Urea Nitrogen (BUN) test and the Creatinine test.
BUN
Blood Urea Nitrogen (BUN) is a test that measures the amount of nitrogen in your blood that comes from the waste product urea. Urea is made when protein is broken down in your body. The urea travels from your liver to your kidneys through your bloodstream. Healthy kidneys filter urea out of the blood and it is expelled through urine.

If BUN levels are higher than normal, it could be a sign that your kidneys are not working as well as they should. This is why checking BUN levels before administering contrast media is essential. High BUN levels indicate compromised kidney function, which could increase the risk of complications.
Creatinine
Creatinine is another waste product that the kidneys filter out of the blood. It is created from the normal wear and tear on muscles in the body. Unlike BUN, which can be affected by diet and other factors, creatinine levels provide a more specific indicator of kidney function.

When creatinine levels build up in the blood, it is a sign that the kidneys might not be filtering properly. As a result, it is essential to measure creatinine levels prior to a CT scan with contrast media to ensure the kidneys can manage the additional load effectively. Elevated creatinine levels can indicate possible kidney dysfunction, which must be addressed to prevent risks during the procedure.
contrast media safety
Contrast media, also known as contrast agents, are substances used in medical imaging to improve the visibility of internal structures in the body. While they are highly beneficial for achieving detailed images, they can pose risks, particularly to individuals with compromised kidney function. To mitigate these risks, it is mandatory to perform kidney function tests such as BUN and Creatinine before the procedure.

The administration of contrast media can stress the kidneys, and without proper kidney function, this can lead to conditions such as contrast-induced nephropathy (CIN), a serious kidney complication. This is why healthcare providers rigorously check kidney function before using contrast media. Ensuring patient safety is the priority, and these tests play a critical role in the decision-making process.

In summary, proper assessment of kidney function through tests like BUN and Creatinine is vital for the safe use of contrast media in CT scans.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A nurse is preparing to teach a newly diagnosed diabetic about the disease. Which is the initial step the nurse should take? A. Identify the client's willingness to learn. B. Find out what the client knows about the disease. C. Determine the client's level of formal education. D. Select written material available for the client's use.

A child is being treated for bacterial meningitis. Nursing interventions would include: A. forcing fluids. B. positioning in Trendelenburg position. C. maintaining a brightly lit room to observe for seizures. D. maintaining respiratory isolation for 24–48 hours after antibiotics are started.

While visiting the area from another state, a client presents to the emergency room with severe pain secondary to a kidney stone. The physician orders an IV line started with \(125 \mathrm{ml}\) per hour of D5 \(1 / 4\) NS and morphine for pain. The client shows the nurse his chest where he states he has a Subcutaneous venous port and asks the nurse to start the IV there. Prior to starting an IV line in this port, the nurse would need to verify that the: A. Brand of subcutaneous port. B. Medications can be given by central line. C. Port internal tip lies in the superior vena cava. D. Intravenous fluids can be administered by central line.

A client is receiving a chemotherapy agent that is known to be irritating to the bladder wall. Which nursing action would best reduce irritation? A. Encourage the client to drink milk B. Restrict fluids to decrease urine volume C. Administer the once daily drug at bedtime D. Have the client void every two hours while awake

A child has been diagnosed with scabies. In addition to washing the child with the prescribed medication, the nurse would instruct the mother to: A. wash all bed linens in hot soapy water. B. wash all fruits and vegetables before use. C. have the family's dog checked for evidence of infestation. D. discard all of the child's clothing and replace with new clothing.

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.