How does a patient prepare for a chest x ray?

For standard X-ray examinations there is little nursing preparation required. Many such X-rays are performed on outpatients who care for themselves. However, some points may need to be considered:

-Nurses may need to reduce anxiety in some patients, particularly in those who are very young or confused. Some may be anxious about the exposure to radiation, and need to be given as much information as possible about the test, and to be reassured that the benefits of having the test far out way the very small risk involved.

-Some physical preparation is sometimes required, especially for more extensive investigations involving contrast media.

-Simple, loose clothing is important to gain access to that part of the body under examination. This may mean a loose fitting gown for hospital patients. The patient may need a dressing gown and footwear for privacy and warmth while away from bed.

-If the investigation involves contrast medium, check to see if the patient has any Allergies, particularly to iodine or seafood (which may indicate an iodine allergy). Report any allergies the patient has to the radiography staff.

-Some specialised X-ray investigations may require nothing by mouth for a few hours before the test, or a particular bowel preparation. Often, the radiography department will issue specific instructions when the appointment is made. Nurses should ensure these instructions are carried out for all hospital patients.

-Check that the patient has emptied the bladder before the test commences.

-Check to see if a female patient is, or could be pregnant. Exposure of the unborn fetus to X-rays can be damaging to the child.

-After the test, the patient should be returned to their normal activities if these have been disturbed, i.e. eating and drinking, as quickly as possible.

-Whilst most contrast medium allergies are instantaneous, nurses should be aware of possible longer-term reactions over the next few hours or days, and observe patients accordingly.