What should the nurse monitor for in a client with asthma scheduled for an excretory urography?

In considering the situation of a client with asthma scheduled for an excretory urography, monitoring for allergic reactions is particularly important. The contrast dye used in this imaging procedure can cause allergic responses in some individuals. This risk is heightened for patients with asthma, as their respiratory condition may exacerbate any allergic reactions.

Clients with asthma could potentially experience bronchospasm or other respiratory issues if they have an allergy to the contrast medium. Therefore, vigilance for symptoms such as rash, itching, or respiratory distress immediately after administration of the dye is essential. Ensuring the patient is stable and prepared to respond to any potential allergic reactions is a critical nursing responsibility in this scenario.

While monitoring for kidney function and respiratory distress are also relevant considerations, the immediate concern related to the contrast agents used during excretory urography makes monitoring for allergic reactions the priority. Thus, the focus should be on preventing and identifying any allergic manifestations in this patient population.