A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (Select all that apply)

Informed consent obtained by MD

Obtain coagulation studies

Administer diphenhydramine (Benadryl) prior to the procedure.

Obtain a urine specimen prior to the procedure

Maintain NPO status prior to the procedure.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A reason: Informed consent must be obtained by the physician before the procedure to ensure the patient understands the risks, benefits, and alternatives.
Choice B reason: Obtaining coagulation studies is essential to assess the patient's bleeding risk before a biopsy, which involves puncturing tissue and can cause bleeding.
Choice C reason: Administering diphenhydramine (Benadryl) is not typically required for a kidney biopsy. Pre-medications may be prescribed based on individual patient needs, but it is not a standard practice.
Choice D reason: A urine specimen is necessary to check for existing infections or abnormalities before the biopsy is performed.
Choice E reason: Maintaining NPO (nothing by mouth) status prior to the procedure helps reduce the risk of aspiration during sedation or anesthesia.

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Correct Answer is C

Explanation

Choice A reason: A one-year interval for colonoscopy is not recommended for average-risk individuals. Annual testing is more suited for high-risk patients or for other forms of screening, such as the fecal occult blood test (FOBT).
Choice B reason: A two-year interval is also not the recommended schedule for colonoscopy screenings in average-risk adults.
Choice C reason: The American Cancer Society recommends a colonoscopy every ten years for adults at average risk starting at age 50. This interval balances effectiveness in detecting cancer with the risks and costs associated with the procedure.
Choice D reason: A five-year interval may apply to other forms of screening, such as sigmoidoscopy, but is not the standard recommendation for a full colonoscopy in average-risk individuals.

A. "You will need to increase your dietary intake of raw vegetables." B. "You may experience a small amount of bleeding around the stoma." C. "You can expect fecal output within 24 hours." D. "You can expect the stoma to be purplish in color for the first week."

Correct Answer is B

Explanation

Choice A reason: Increasing the intake of raw vegetables is not typically recommended immediately after colostomy surgery due to the potential for causing gas and irritation in the bowel. A more balanced diet should be gradually introduced.
Choice B reason: It is common to experience a small amount of bleeding around the stoma initially as it heals. This is normal and should subside as the healing process continues.
Choice C reason: Fecal output usually begins within 2-4 days after surgery, not necessarily within 24 hours. The bowel needs time to adjust and start functioning properly after the operation.
Choice D reason: The stoma should be pink to red and moist, indicating healthy tissue. A purplish color may indicate compromised blood flow and requires immediate medical attention.

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A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (Select all that apply)

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