A nurse is preparing a client for the operating room.
A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following interventions should the nurse include in the plan? (Select all that apply)
Verify informed consent
Administer diphenhydramine (Benadryl) prior to procedure.
Obtain coagulation studies
Collect a urine specimen prior to procedure
Ensure NPO status
Correct Answer : A,C,D,E
A. Verify informed consent: A kidney biopsy is an invasive procedure that carries significant risks such as bleeding. Confirming that the client has signed an informed consent form is a legal and ethical requirement before proceeding.
B. Administer diphenhydramine (Benadryl) prior to procedure: Diphenhydramine is not typically required before a kidney biopsy. It is an antihistamine used for allergic reactions and is not a standard pre-procedural medication for this test.
C. Obtain coagulation studies: Coagulation studies such as PT, aPTT, and INR must be reviewed to assess bleeding risk. Kidney biopsies carry a risk of hemorrhage, so normal clotting status must be confirmed.
D. Collect a urine specimen prior to procedure: A pre-procedure urine sample is important to check for infection or significant hematuria, which can influence the safety and timing of the biopsy.
E. Ensure NPO status: Clients are typically kept NPO for 6 to 8 hours before the biopsy to reduce the risk of aspiration if sedation or analgesia is used during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Nitroglycerin: This vasodilator is commonly used to treat angina and does not interact with contrast dye or directly increase the risk for acute kidney injury.
B. Metformin: Metformin can accumulate in the body if kidney function worsens after contrast exposure, increasing the risk of lactic acidosis—a rare but serious complication. It is generally recommended to hold metformin before and for 48 hours after contrast procedures to assess renal function.
C. Atorvastatin: Although statins can have renal effects in rare cases of rhabdomyolysis, they do not directly interact with contrast media or significantly raise AKI risk during catheterization.
D. Carvedilol: This beta-blocker affects heart rate and blood pressure but has no known interaction with contrast dye or specific impact on kidney function in this context.
Correct Answer is ["A","C","D","E"]
Explanation
A. Verify informed consent: A kidney biopsy is an invasive procedure that carries significant risks such as bleeding. Confirming that the client has signed an informed consent form is a legal and ethical requirement before proceeding.
B. Administer diphenhydramine (Benadryl) prior to procedure: Diphenhydramine is not typically required before a kidney biopsy. It is an antihistamine used for allergic reactions and is not a standard pre-procedural medication for this test.
C. Obtain coagulation studies: Coagulation studies such as PT, aPTT, and INR must be reviewed to assess bleeding risk. Kidney biopsies carry a risk of hemorrhage, so normal clotting status must be confirmed.
D. Collect a urine specimen prior to procedure: A pre-procedure urine sample is important to check for infection or significant hematuria, which can influence the safety and timing of the biopsy.
E. Ensure NPO status: Clients are typically kept NPO for 6 to 8 hours before the biopsy to reduce the risk of aspiration if sedation or analgesia is used during the procedure.
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