with Certified Answers
A nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the
following statements should the nurse include in the teaching?
A. "you will receive contrast dye during the procedure."
B. "An enema is necessary before the procedure."
C. "you will need to lie in a prone position during the procedure."
D. "The procedure determines whether you have a kidney stone." - Answer A. Clients do not receive any
contrast dye for this procedure, as they would for excretory urography. B. Clients do not receive an
enema before this procedure, because it does not affect the gastrointestinal system. C. The client will lie
supine, not prone.
D. CORRECT: The nurse should explain to the client that a KUB can identify renal calculi, strictures,
calcium deposits, and obstructions of the urinary system.
A nurse is monitoring a client who had a kidney biopsy for postoperative complications. Which of the
following complications should the nurse identify as causing the greatest risk to the client?
A. Infection
B. Hemorrhage
C. Hematuria
D. Pain - Answer A. The client is at risk for infection of the kidney because a biopsy is an invasive
procedure. However, another complication is the priority.
B. CORRECT: The greatest risk to the client following a kidney biopsy is hemorrhage due to a lack of
clotting at the puncture site. The nurse should report this finding to the provider immediately.
C. The client is at risk for hematuria, which is a common complication the first 48 to 72 hr after the
biopsy. However, another complication is the priority. D. The client is at risk for pain after a kidney
biopsy because blood in and around the kidney causes pressure on the nerves in the area; however,
another complication is the priority.
A nurse has a client who has type 2 diabetes mellitus and will have excretory urography. Prior to the
procedure, which of the following actions should the nurse take? (Select all that apply.)
A. Identify an allergy to seafood.
B. Withhold metformin for 24 hr.