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. Encourage increased fluid intake. B. Encourage frequent ambulation. C. Administer antibiotics. D. Obtain weight weekly.

Correct Answer is C

Explanation

Choice A reason: Encouraging increased fluid intake is not appropriate for clients with acute glomerulonephritis as it can exacerbate fluid retention and hypertension, worsening the condition.
Choice B reason: Frequent ambulation is generally beneficial for overall health but is not a specific intervention for managing acute glomerulonephritis.
Choice C reason: Administering antibiotics is essential if the acute glomerulonephritis is caused by a bacterial infection, such as post-streptococcal glomerulonephritis. Treating the underlying infection can help resolve the kidney inflammation.
Choice D reason: Obtaining weight weekly is insufficient for monitoring fluid balance in acute glomerulonephritis. Daily weights are more appropriate to closely monitor fluid retention and adjust treatment as needed.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

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