What question should be asked to assess a client's risk of allergic reaction to IVP dye?

To assess a client's risk of an allergic reaction to IVP (Intravenous Pyelogram) dye, inquiring whether the client is allergic to iodine or shellfish is fundamental. The iodinated contrast media used in IVP procedures often contains iodine, which can trigger allergic reactions in susceptible individuals.

Shellfish allergies are frequently cited in clinical practice as a potential indicator of an iodine allergy, as both share similar allergenic properties. By asking this specific question, healthcare providers can evaluate the likelihood of an allergic response and take appropriate precautions, such as utilizing alternative imaging methods or pre-medication strategies to mitigate the risk.

The other options do not directly assess the risk of an allergic reaction to the IVP dye. While knowing a client's medication history or kidney problems is important for comprehensive patient evaluation, these factors are more related to overall health and contrast safety than to allergy assessment. Understanding if a client is pregnant is crucial for procedural safety but does not pertain to possible allergic reactions to dye components.