Which nursing action is essential for a patient immediately after ...

[biggirl4568]

Which nursing action is essential for a patient immediately after a renal biopsy?
 
  a. Check blood glucose to assess for hyperglycemia or hypoglycemia.
  b. Insert a urinary catheter and test urine for gross or microscopic hematuria.
  c. Monitor the blood urea nitrogen (BUN) and creatinine to assess renal function.
  d. Apply a pressure dressing and keep the patient on the affected side for 30 minutes.

Question 2

A female patient being admitted with pneumonia has a history of neurogenic bladder as a result of a spinal cord injury. Which action will the nurse plan to take first?
 
  a. Ask about the usual urinary pattern and any measures used for bladder control.
  b. Assist the patient to the toilet at scheduled times to help ensure bladder emptying.
  c. Check the patient for urinary incontinence every 2 hours to maintain skin integrity.
  d. Use intermittent catheterization on a regular schedule to avoid the risk of infection.

[kaykay69]

Answer to Question 1

ANS: D
A pressure dressing is applied and the patient is kept on the affected side for 30 to 60 minutes to put pressure on the biopsy side and decrease the risk for bleeding. The blood glucose and BUN/creatinine will not be affected by the biopsy. Although monitoring for hematuria is needed, there is no need for catheterization.

Answer to Question 2

a. Ask about the usual urinary pattern and any measures used for bladder control.
b. Assist the patient to the toilet at scheduled times to help ensure bladder emptying.
c. Check the patient for urinary incontinence every 2 hours to maintain skin integrity.
d. Use intermittent catheterization on a regular schedule to avoid the risk of infection.

[biggirl4568]

TYSM

[mcabuhat]

Gracias!