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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Tenderness in the left upper abdomen is not typically associated with an obstruction of the common bile duct. Pain and tenderness would more commonly be located in the right upper quadrant of the abdomen, where the liver and gallbladder are situated.
Choice B reason: Fatty stools (steatorrhea) are a common finding in bile duct obstruction. The lack of bile entering the intestine prevents the digestion and absorption of fats, leading to pale, greasy stools that float.
Choice C reason: Straw-colored urine is normal and does not indicate a bile duct obstruction. In cases of bile duct obstruction, the urine is often dark-colored due to the excretion of bilirubin.
Choice D reason: Ecchymosis of the extremities is not related to bile duct obstruction and is more indicative of bleeding disorders or trauma.
Correct Answer is C
Explanation
Choice A reason: Dehydration can cause muscle cramping, but it is not the most specific indicator of acute pancreatitis. The focus in this condition is more on electrolyte imbalances and systemic effects.
Choice B reason: Hypermagnesemia, or elevated magnesium levels, can lead to muscle weakness rather than cramping. It is not a common symptom of acute pancreatitis.
Choice C reason: Hypocalcemia, or low calcium levels, is a typical sign of acute pancreatitis and can cause muscle cramping and spasms. The inflammation of the pancreas can lead to the sequestration of calcium in fatty areas, resulting in low serum calcium levels.
Choice D reason: Hyperkalemia, or elevated potassium levels, can cause muscle weakness and cardiac issues but is not specifically associated with muscle cramping in acute pancreatitis.
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