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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A reason: Cheddar cheese is high in fat, which can trigger pancreatitis flare-ups. People with pancreatitis are generally advised to follow a low-fat diet to avoid exacerbating their condition. Consuming high-fat foods like cheddar cheese can stimulate the pancreas to produce more digestive enzymes, which can lead to increased inflammation and pain.
Choice B reason: Vegetable soup, especially if it is broth-based and low in fat, is generally safe for individuals with pancreatitis. It provides essential nutrients without putting too much strain on the pancreas. However, it is essential to ensure that the soup does not contain any high-fat ingredients, such as cream or butter, which can aggravate the condition.
Choice C reason: Baked fish is typically a good choice for individuals with pancreatitis because it is low in fat and high in protein. The preparation method also matters; baking is a healthy cooking method that does not add extra fat to the dish. As long as the fish is not fried or cooked with high-fat sauces, it should be safe to consume.
Choice D reason: Noodles, particularly those made from refined flour, are generally low in fat and can be included in a pancreatitis-friendly diet. However, the overall meal should be balanced and low in fat to avoid triggering symptoms. Whole grain noodles might be a better option as they provide more fiber and nutrients.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
