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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Including foods high in fiber can be beneficial for overall digestive health, but it is not specifically targeted to managing biliary colic from chronic cholecystitis. The key dietary focus for these patients is to manage fat intake rather than fiber.
Choice B reason: Including foods high in starch and proteins does not directly address the dietary needs for managing biliary colic. While proteins and starches are part of a balanced diet, the critical factor for these patients is fat consumption.
Choice C reason: Avoiding foods high in sodium is generally good advice for cardiovascular health and can help reduce the risk of hypertension, but it is not specifically related to managing biliary colic.
Choice D reason: Avoiding foods high in fat is crucial for patients with chronic cholecystitis. High-fat foods can trigger biliary colic by stimulating the gallbladder to release bile, which can be painful when the bile ducts are inflamed or obstructed.
Correct Answer is C
Explanation
Choice A reason: Cleaning the inside of the container with a wipe is not a part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample, rather than cleaning the container itself.
Choice B reason: Urinating a little then stopping, while part of the process, is not enough information to indicate a complete understanding of the procedure. The more critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised. It can lead to contamination as the same wipe might transfer bacteria instead of eliminating them. It is essential to use a new wipe for each part of the cleaning process to maintain hygiene and ensure the accuracy of the urine sample.
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