The nurse is reviewing the Provider Prescriptions from week 1 at 1230. The nurse is providing teaching to the guardians and their child about the newly prescribed diagnostic test. Select the 3 statements the nurse should make when providing teaching.
Explanation & Rationale
A kidney biopsy is performed to obtain renal tissue for diagnosis and confirmation of conditions such as minimal change nephrotic syndrome. In children, preparation includes explaining the procedure, maintaining safety, and reducing anxiety for both the child and guardians. Teaching should include pre-procedure fasting, positioning, and expected post-procedure care such as monitoring for bleeding. Nurses also educate families about normal findings after the biopsy and when to report complications. Rationale: A. Lying on the stomach for 12 hours after the procedure is incorrect because the child is usually placed in a supine position with bed rest after the biopsy to reduce bleeding risk and allow close observation. Prolonged prone positioning is uncomfortable and not the standard post-procedure recommendation. Monitoring focuses on hemodynamic stability and urine output. B. Not eating or drinking for about 4 hours before the procedure is correct because fasting helps reduce the risk of aspiration if sedation or anesthesia is used during the kidney biopsy. Pre-procedure NPO status is a standard safety measure before invasive diagnostic testing. Guardians should understand the importance of following these instructions carefully. C. Some blood in the urine following the procedure is expected because the biopsy needle passes through kidney tissue, which is highly vascular. Mild hematuria can occur temporarily after the procedure and should be monitored. However, large amounts of blood, clots, or persistent bleeding should be reported immediately. D. Being positioned on the back during the procedure is incorrect because kidney biopsy is typically performed with the child lying prone to allow better access to the kidneys from the posterior flank area. Proper positioning helps the provider safely obtain the tissue sample while minimizing injury to surrounding structures. E. A pressure bandage will be placed on the area following the procedure to help reduce bleeding and support hemostasis at the puncture site. Since the kidneys are highly vascular, bleeding is a major concern after biopsy. The pressure dressing helps protect the site and is part of standard post-procedure care.