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    Ati lpn med surg endocrine proctored exam

    A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?

    Explanation & Rationale

    A. "I haven't had anything to eat or drink since last night.": Fasting is appropriate before an IVP and is expected. B. "I took a laxative yesterday.": A recent laxative may affect bowel prep but is not an absolute contraindication; document and clarify as needed. C. "The last time I voided it was painful.": Pain with voiding is relevant to urinary tract history but does not immediately preclude an IVP. D. "I took my metformin before breakfast.": Metformin given near the time of iodinated contrast increases risk of lactic acidosis; this requires immediate clarification and coordination with the provider about holding the drug.

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