Author Question: A school-age child is returning home after a renal biopsy. What teaching should the nurse provide to ... (Read 67 times)

Mr.Thesaxman · **on:** Jun 27, 2018

A school-age child is returning home after a renal biopsy. What teaching should the nurse provide to the patient and parents at this time? (Select all that apply.)

A) Remove the dressing in 2 hours.
B) Resume regular activity level at home.
C) Drink a glass of fluid every hour while awake.
D) Expect the first voided urine to be blood-tinged.
E) Teach how to keep serial urine samples for 24 hours.

Question 2

The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing?

A) Appetite
B) Breathing rate
C) Tightness of shoes
D) Abdominal circumference

durant1234 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C, D, E
Feedback:
If a renal biopsy is done on an ambulatory basis, children can be discharged 2 to 4 hours after the procedure if vital signs are stable and they have voided. Encourage children to drink a glass of fluid every hour while awake during the first 24 hours to keep urine flowing freely and prevent blood from clotting in the kidney tubules and blocking urine flow. The first voiding after renal biopsy is invariably blood-tinged. Instruct parents how to keep serial urine samples, comparing each specimen with the previous one, to detect whether hematuria is becoming more or less marked. The dressing should not be disturbed. Parents should keep the child on restricted activity for 24 hours or until no more hematuria is present.

Answer to Question 2

D
Feedback:
Edema tends to be dependent or occur in the lower parts of the body. Parents may notice clothing no longer fits a child around the waist because edematous fluid is beginning to collect in the abdominal cavity or ascites. This is what the parents should monitor in the child. Appetite and breathing rate will be affected later after a significant amount of ascites fluid accumulates. Edema in the feet is not a typical manifestation of this disorder.