HESI Registered Nurse EXIT Practice Exam

During an excretory urogram, which observation would indicate a complication?

1. The client complains of a salty taste in the mouth when the dye is injected

2. The client's entire body turns a bright red color

3. The client states "I have a feeling of getting warm"

4. The client gags and complains "I am getting sick"

The correct answer is: The client's entire body turns a bright red color

A bright red color change in the client's entire body during an excretory urogram suggests a serious complication, possibly relating to severe allergic reaction or anaphylaxis. This systemic reaction may occur due to contrast dye, which can cause vasodilation and result in flushing of the skin. Such a dramatic physiological response warrants immediate medical intervention, as it indicates potential circulatory compromise or anaphylactic shock. Other possible complications that could arise from the use of contrast agents include renal impairment or respiratory distress, but the systemic alteration in color is a direct visual sign of an immediate and serious medical issue. In contrast, other symptoms observed during the procedure, such as a salty taste, warmth, or mild nausea, can be common and expected reactions to the contrast medium. A salty or metallic taste occurs frequently and is generally not concerning. A feeling of warmth may indicate that the dye is being injected properly and typically resolves quickly. Mild nausea and gagging can also be side effects of the procedure, particularly associated with anxiety or the introduction of the contrast agent, but do not represent an immediate threat. Therefore, a change in the color of the client’s entire body is the observation that distinctly signals a significant complication requiring prompt attention.