A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

Elevated creatinine level

Urinary retention

Flank pain

Bleeding tendencies

Answer and Explanation

The Correct Answer is D

Choice A reason: An elevated creatinine level indicates reduced kidney function, which is often the reason a kidney biopsy is being performed in the first place. It is not a contraindication for the procedure.

Choice B reason: Urinary retention does not directly impact the ability to perform a kidney biopsy, as the procedure involves the kidneys and not the lower urinary tract where urine is stored.

Choice C reason: Flank pain is a common symptom in patients with kidney issues and is not a contraindication for a kidney biopsy. The procedure may help diagnose the cause of the ?ank pain.

Choice D reason: Bleeding tendencies are a significant contraindication for a kidney biopsy. Patients with a history of bleeding disorders or those on anticoagulant therapy are at increased risk of bleeding complications from the procedure.

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Correct Answer is A

Explanation

Choice A reason: Black Americans have been found to have a higher prevalence of end-stage renal disease (ESRD) due to diabetes mellitus compared to other ethnic groups. This is atributed to a combination of factors including higher rates of diabetes, hypertension, and genetic predispositions that contribute to kidney damage.

Choice B reason: While Asian Americans do have a significant incidence of diabetes mellitus, they are not the group with the highest prevalence of ESRD due to diabetes. However, within the Asian American population, there are subgroups that have higher rates of ESRD, which may be in?uenced by genetic and environmental factors.

Choice C reason: Non-Hispanic Whites have a lower prevalence of ESRD due to diabetes mellitus when compared to Black Americans. However, they still constitute a significant portion of the ESRD population due to the larger size of this demographic group in the general population.

Choice D reason: Hispanic/Latinos also su?er from a high prevalence of diabetes mellitus, which can lead to ESRD. However, the rate of progression to ESRD due to diabetes is not as high as in the Black American population.

Socioeconomic factors and access to healthcare may in?uence these outcomes.

A. The client states that they consume a high calcium diet and have had high calcium in their blood. B. The client reports that they had two urinary tract infections (UTI) in the past 10 months. C. The client reports that they took a lot of ibuprofen for arthritis for many years. D. The client states that they remember their mother saying their grandmother had this same genetic disease.

Correct Answer is B

Explanation

Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.

Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.

Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.

Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.

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A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate having end-stage renal disease (ESRD) due to diabetes mellitus?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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