hard · NCLEX-RN risk-reduction
The nurse is preparing to administer gadolinium contrast and notes the client’s eGFR has dropped from 45 to 28 mL/min/1.73m2 since the last visit.
What is the priority nursing action?
- Increase the IV infusion rate of normal saline to 'flush' the kidneys during the scan.
- Notify the radiologist and provider of the acute decline in renal function before proceeding
- Document the value and perform a skin assessment for existing NSF
- Administer the contrast as ordered since the eGFR is still above 15, at this point in care.
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