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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Related Questions
Correct Answer is D
Explanation
A. The PCA pump allows the patient to self-administer medication within safe limits set by the provider.
B. If the PCA is not effectively managing pain, the nurse needs to be informed to reassess and adjust the plan.
C. The patient can press the button to receive a controlled dose of analgesic.
D. This statement indicates the client does not understand the purpose of a PCA pump, which is designed to eliminate the need to call a nurse for each dose. This response signals the need for further teaching.
Correct Answer is B
Explanation
A. Ketoacidosis typically presents with symptoms like nausea, vomiting, abdominal pain, fruity breath, and Kussmaul respirations—not acute shakiness or sweating.
B. The signs of sweating, tachycardia, light-headedness, and shakiness are classic early symptoms of hypoglycemia, a common complication in type 1 diabetes, especially when insulin or food intake is imbalanced.
C. Nephropathy is a chronic complication of diabetes affecting the kidneys and does not present with acute symptoms like those described.
D. Hyperglycemia usually causes polyuria, polydipsia, and fatigue but not the adrenergic (fight-or-flight) symptoms described here.
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