What is the purpose of a renal biopsy?

Choice a reason: Preparing the client for surgery may be necessary if the urological obstruction requires surgical intervention. However, it is not the immediate priority. Before considering surgical preparation, the nurse must assess the client's current condition to determine the severity of the obstruction and its impact on vital signs and urine output.
Choice b reason: Providing emotional support to the client is important for overall care, but it is not the nurse's immediate priority in the case of a urological obstruction. Emotional support should be provided once the client's physical condition has been stabilized and assessed.
Choice c reason: Assessing vital signs and urine output is the nurse's priority in managing a client with a urological obstruction. Monitoring these parameters helps the nurse evaluate the severity of the obstruction, detect any signs of complications such as infection or renal failure, and guide further interventions. Immediate assessment ensures timely and appropriate management of the client's condition.
Choice d reason: Administering medication may be part of the client's treatment plan, but it is not the priority action. Medication administration should follow the assessment of the client's vital signs and urine output to ensure that the chosen interventions are appropriate for the client's current status. Prioritizing assessment allows for more targeted and effective treatment.

Choice a reason: Increasing protein intake is not recommended for clients who have received treatment for kidney stones, particularly those prone to calcium oxalate or uric acid stones. High protein diets can increase the levels of oxalates and uric acid in the urine, promoting the formation of kidney stones. Managing protein intake helps in reducing the risk of stone recurrence.
Choice b reason: Increasing water intake is crucial for clients who have received treatment for kidney stones. Adequate hydration helps to dilute the urine, reducing the concentration of minerals and salts that can form stones. Drinking enough water ensures that the kidneys function properly, and it can help prevent the formation of new stones. It is generally recommended to drink at least 2-3 liters of water daily unless otherwise advised by a healthcare provider.
Choice c reason: Increasing tea consumption is not necessarily beneficial for clients with a history of kidney stones. Some types of tea, particularly those rich in oxalates (such as black tea), can contribute to the formation of calcium oxalate stones. While staying hydrated is essential, choosing beverages with lower oxalate content is advisable to minimize stone risk.
Choice d reason: Increasing sodium intake is counterproductive for clients with kidney stones. High sodium intake can increase calcium levels in the urine, which can lead to the formation of calcium-based stones. Reducing sodium intake is an important dietary modification for preventing kidney stone recurrence and promoting overall kidney health. It is recommended to consume less than 2,300 mg of sodium per day, or even lower if advised by a healthcare provider.