In preparing for a kidney biopsy, which complication must the clinician watch for?

Unlock all questions

This demo includes only 20 questions. Upgrade to access hundreds of questions, flashcards, exam simulations, and disable ads.

Full question bankExam simulationsFlashcards
From $24.99Unlock all

Prepare for the NCLEX exam effectively with our NCLEX Uworld Practice Test. Use flashcards and multiple choice questions with detailed hints and explanations to ensure you're ready for success!

Multiple Choice

In preparing for a kidney biopsy, which complication must the clinician watch for?

Explanation:
Bleeding is the primary concern because a percutaneous kidney biopsy involves piercing a highly vascular organ. The needle can injure intrarenal vessels, potentially causing retroperitoneal hemorrhage or gross hematuria. Therefore, clinicians focus on minimizing bleeding risk before the procedure by checking coagulation status (platelets, INR, aPTT), holding or adjusting anticoagulants/antiplatelets as ordered, and correcting any coagulopathy if possible. After the biopsy, vigilance for signs of bleeding is essential—flank or abdominal pain, tenderness, hypotension, tachycardia, decreasing hematocrit, or visible blood in the urine would indicate bleeding and require prompt evaluation.

Bleeding is the primary concern because a percutaneous kidney biopsy involves piercing a highly vascular organ. The needle can injure intrarenal vessels, potentially causing retroperitoneal hemorrhage or gross hematuria. Therefore, clinicians focus on minimizing bleeding risk before the procedure by checking coagulation status (platelets, INR, aPTT), holding or adjusting anticoagulants/antiplatelets as ordered, and correcting any coagulopathy if possible. After the biopsy, vigilance for signs of bleeding is essential—flank or abdominal pain, tenderness, hypotension, tachycardia, decreasing hematocrit, or visible blood in the urine would indicate bleeding and require prompt evaluation.

More Multiple Choice Questions
Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy