Difficulty: Medium
Average Score: 66%
Simulated
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the clientÔÇÖs history requires follow-up by the nurse?
Correct answer
B
Rationale
The correct answer is B. Taking metformin for type 2 diabetes mellitus requires follow-up by the nurse before the CT scan with contrast. Metformin can potentially cause lactic acidosis when combined with contrast dye, leading to serious adverse effects. The nurse needs to assess the client's kidney function and determine if metformin needs to be temporarily discontinued before the CT scan.
A: A CT scan performed six months earlier is not relevant for follow-up before the current CT scan.
C: The client's sobriety status does not impact the need for follow-up before the CT scan.
D: A metal hip prosthesis placed twenty years ago does not require specific follow-up before the CT scan.
In summary, choice B is the correct answer as it involves potential medication-related complications with contrast dye, while the other choices are unrelated to the need for follow-up before the CT scan.
A: A CT scan performed six months earlier is not relevant for follow-up before the current CT scan.
C: The client's sobriety status does not impact the need for follow-up before the CT scan.
D: A metal hip prosthesis placed twenty years ago does not require specific follow-up before the CT scan.
In summary, choice B is the correct answer as it involves potential medication-related complications with contrast dye, while the other choices are unrelated to the need for follow-up before the CT scan.