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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?

A.

Flank pain

B.

Elevated creatinine level

C.

Coagulation disorder

D.

Urinary retention

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. Flank pain alone is not a contraindication for a kidney biopsy, although it may be a symptom that necessitates the biopsy to determine the cause of kidney issues.

 

B. An elevated creatinine level indicates impaired kidney function but is not a contraindication for a kidney biopsy; in fact, it may be a reason to perform the biopsy.

 

C. A coagulation disorder is a contraindication for a kidney biopsy because it increases the risk of bleeding during and after the procedure. It is crucial to ensure that coagulation parameters are within a safe range before performing this invasive test.

 

D. Urinary retention does not contraindicate a kidney biopsy, although it may need to be addressed separately.


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View Related questions

Correct Answer is ["C","D","E"]

Explanation

Rationale:

A. Bradycardia is not typically associated with emphysema; tachycardia is more common due to hypoxia.

B. Deep respirations are not a hallmark of emphysema; patients often have shallow, rapid breathing due to decreased lung capacity.

C. A barrel chest is a characteristic sign of emphysema, resulting from hyperinflation of the lungs over time.

D. Clubbing of the fingers can occur due to chronic hypoxia associated with emphysema.

E. Dyspnea, or difficulty breathing, is a primary symptom of emphysema due to the destruction of alveoli and reduced gas exchange.

Correct Answer is A

Explanation

Rationale:

A. A rapid weight gain, such as a 5 lb increase in one day, is a strong indicator of fluid overload, particularly in clients with end-stage kidney disease. This excess fluid retention can lead to complications like pulmonary edema and congestive heart failure.

B. An oxygen saturation of 93% is slightly low but not a direct indicator of fluid overload; it may be related to other factors like anemia or underlying lung disease.

C. Normal skin turgor, where the skin returns to its previous position after being pinched, does not indicate fluid overload. In fluid overload, you might see pitting edema, where the skin does not return immediately.

D. Flattened neck veins would suggest a lack of fluid, not an overload. In fluid overload, you would expect to see distended neck veins (jugular venous distension).

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