hard · NCLEX-RN Reduction of Risk Potential

A client requires an MRI with Gadolinium contrast. The most recent laboratory result shows a serum creatinine of 2.1 mg/dL (Reference: 0.6 to 1.2 mg/dL).

Which nursing action is the priority?

  1. Notify the provider and the radiologist of the elevated creatinine level
  2. Apply a warm compress to the injection site to promote systemic absorption
  3. Encourage the client to drink 1 liter of water immediately to dilute the contrast
  4. Document the value and proceed, as Gadolinium is not as nephrotoxic as iodinated contrast

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