A nurse is monitoring a client who had a kidney biopsy for postoperative complications. The nurse understands that the client is at risk for which potential serious complication?
Select one:
Hematuria
Hemorrhage
Increased Urinary Output.
Pain
The Correct Answer is B
A. Expected finding. Mild hematuria is common after a kidney biopsy and is usually self-limiting. It is not the most serious complication.
B. The most serious and life-threatening complication following a kidney biopsy is hemorrhage. The kidneys are highly vascular, and a biopsy can result in internal bleeding. This requires immediate recognition and intervention.
C. Increased urinary output is not typically associated with post-biopsy complications and is not expected.
D. Pain is common but not serious. Some localized pain or discomfort at the biopsy site is normal, but it is not a major or life-threatening complication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While pain medication may be necessary, assessing the cause of symptoms takes priority before any intervention.
B. Repositioning may help improve lung expansion but should only be done after assessing the client’s status.
C. Incentive spirometry is important postoperatively but should follow an assessment to ensure safety.
D. The first priority is to assess vital signs and oxygen saturation to determine if the client is experiencing respiratory distress or a serious complication such as a pulmonary embolism or pneumothorax, which can present with chest pain and difficulty breathing after laparoscopic surgery.
Correct Answer is A
Explanation
A. This is the priority intervention to address powerlessness. Involving the client in planning promotes autonomy, empowerment, and a sense of control over their own care — which directly counters feelings of powerlessness associated with chronic, life-altering illness like ESRD.
B. While helpful for organization and adherence, this is not priority in addressing emotional or psychological issues like powerlessness. It is more of a supportive or logistical intervention.
C. This is a clinical management issue related to renal diet, not a direct intervention for powerlessness.
D. clients with ESRD typically require sodium restriction, not an increase, to manage fluid retention and hypertension.
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