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 B
Explanation
Choice A reason: Macaroni and cheese is high in fat due to the cheese content, which can exacerbate symptoms of cholecystitis. Patients with cholecystitis should avoid high-fat foods to prevent gallbladder irritation.
Choice B reason: Roast turkey, if prepared without added fats, is a lean protein option that is suitable for a cholecystitis diet. It provides necessary nutrients without the high fat content that could trigger symptoms.
Choice C reason: Ice cream is high in fat and sugar, making it unsuitable for someone with cholecystitis. High-fat foods can lead to increased bile production and gallbladder contractions, causing pain and discomfort.
Choice D reason: Creamed chicken typically contains high amounts of fat from cream, which should be avoided by cholecystitis patients to prevent aggravating their condition.
Correct Answer is A
Explanation
Choice A reason: Practicing effective hand hygiene is the most important strategy for preventing the transmission of hepatitis A. The virus is primarily spread through the fecal-oral route, often due to poor handwashing practices. Ensuring proper handwashing can significantly reduce the risk of spreading the virus to others.
Choice B reason: Avoiding serving raw foods can help prevent foodborne illnesses, but it is not specific to preventing the transmission of hepatitis A. The focus should be on hygiene practices rather than food preparation alone.
Choice C reason: Wearing barrier protection during vaginal intercourse is more relevant to preventing the transmission of sexually transmitted infections (STIs). Hepatitis A is not typically transmitted through sexual contact, making this strategy less relevant.
Choice D reason: Avoiding eating at fast food restaurants may reduce the risk of foodborne illnesses in general, but it does not specifically address the prevention of hepatitis A transmission. Hand hygiene remains the primary preventive measure.
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