A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
Explanation & Rationale
A. "My period ended 2 days ago.” Having recently completed menstruation does not impact the safety or effectiveness of an intravenous pyelogram (IVP). This information is routine and does not require reporting unless the client is currently pregnant or suspects pregnancy, which would pose a risk due to radiation exposure. B. "I don't eat shellfish because it gives me hives." A history of hives related to shellfish may indicate an allergy to iodine, which is commonly used in the contrast dye for IVP. This allergic reaction can potentially lead to severe anaphylaxis if the contrast is administered. The provider must be informed immediately. C. "The last time I voided it was painful and red-tinged." These symptoms are likely related to the kidney stones and are relevant but not a contraindication for the IVP. It should be documented and addressed, but it does not require reporting before the procedure unless worsening or related to infection. D. "I drink at least 2 quarts of fluid every day." Adequate hydration is encouraged before and after an IVP to facilitate dye excretion and prevent renal complications. This statement is favorable and supports safe preparation for the procedure, so it does not require provider notification.