A client with acute renal failure is scheduled for a renal biopsy. What information should the nurse provide to the client about this procedure?
"You will need to fast for 12 hours before the biopsy."
"The biopsy will assess your kidney function by measuring the glomerular filtration rate (GFR)."
"The procedure involves inserting a needle through the back to obtain a tissue sample from the kidneys."
"A renal biopsy will examine the blood vessels in your kidneys and assess blood flow to the kidneys."
The Correct Answer is C
A. Incorrect. Fasting is not typically required before a renal biopsy.
B. Incorrect. The renal biopsy does not directly measure the glomerular filtration rate (GFR), which is usually assessed through blood tests.
C. Correct. A renal biopsy is a procedure in which a needle is inserted through the skin and into the kidneys to obtain a small tissue sample for examination. This allows for a direct assessment of kidney tissue and helps identify the cause of kidney dysfunction.
D. Incorrect. While a renal biopsy can provide information about the kidney's structure, its primary purpose is to obtain a tissue sample for histological examination, not to assess blood flow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Dehydration is a significant risk factor for prerenal acute renal failure. Insufficient fluid intake or excessive fluid loss (e.g., vomiting, diarrheA. can lead to decreased blood volume and decreased blood flow to the kidneys, impairing kidney function.
B. Incorrect. A UTI can cause kidney injury but is not specifically associated with prerenal acute renal failure.
C. Incorrect. Chronic kidney disease (CKD. is a risk factor for the development of intrinsic acute renal failure, but it is not directly related to prerenal causes.
D. Incorrect. Diabetes mellitus is a risk factor for chronic kidney disease, but it is not a specific risk factor for prerenal acute renal failure.
Correct Answer is B
Explanation
A. Incorrect. Cloudy dialysis fluid may indicate infection or peritonitis, which requires immediate attention and intervention.
B. Correct. Cloudy dialysis fluid may indicate infection or peritonitis, which can be a severe complication of peritoneal dialysis. The nurse should stop the procedure immediately and notify the healthcare provider for further assessment and management.
C. Incorrect. Administering antibiotics without a proper diagnosis and healthcare provider's order is not appropriate.
D. Incorrect. Increasing the dwell time would not address the issue of cloudy dialysis fluid and potential infection.
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