Question

A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session? A. "You will be sitting for the examination procedure." B. "Portions of the procedure will cause pain or discomfort." C. "You will be given some medication to anesthetize the area." D. "You will not be able to drink fluids for 24 hours before the study."

Short answer

Answer: C. "You will be given some medication to anesthetize the area."

Step-by-step solution

Understanding renal biopsy

Renal biopsy is a medical procedure in which a small piece of kidney tissue is removed using a needle. It is usually performed to diagnose kidney disease, check the progression of the disease, detect cancer, and evaluate the effectiveness of treatment. It is important to inform the client about the procedure, its requirements, and provide them with the right instructions for their comfort and safety.

Analyzing each statement

We'll analyze each statement to determine which is the correct one to include in the teaching session. A. "You will be sitting for the examination procedure." - This statement is incorrect because patients generally lie down on their stomachs or sides during a renal biopsy. B. "Portions of the procedure will cause pain or discomfort." - This statement is true, as the needle insertion and extraction can cause some pain or discomfort. However, pain medications are usually given to minimize it. C. "You will be given some medication to anesthetize the area." - This statement is true. A local anesthetic is typically applied to the area where the biopsy needle will be inserted to numb it and reduce any pain and discomfort. D. "You will not be able to drink fluids for 24 hours before the study." - This statement is incorrect. The patient might be instructed not to eat or drink fluids for a few hours before the biopsy, but not as long as 24 hours.

Selecting the correct statement

Based on the analysis, the correct statement to include in the teaching session is: C. "You will be given some medication to anesthetize the area." It is the most accurate and relevant information to share with the client as a part of their preparation for the renal biopsy procedure.

Key concepts

Renal Biopsy

A renal biopsy is a crucial procedure used to diagnose kidney issues. During the process, a small piece of kidney tissue is taken out with a needle. This helps doctors understand the condition of the kidneys, check for diseases like cancer, and assess treatment progress. The procedure generally includes lying down on your stomach or side, not sitting as some might think.
Understanding these details beforehand is vital for patients as it helps set proper expectations and alleviate anxiety. While the idea of a biopsy might sound daunting, it is an invaluable tool in a physician's arsenal for effective kidney disease management and care.

Patient Education

Patient education plays a pivotal role in preparing for a medical procedure, and a renal biopsy is no exception. Patients must be well-informed about what to expect before, during, and after the biopsy. Clear and concise education helps reduce patient anxiety and increases compliance with pre- and post-procedure instructions.
Some key points to cover include:

• Explain the procedure and its purpose clearly.
• Ensure patients know they might feel discomfort during the biopsy.
• Inform them about the use of local anesthesia to numb the biopsy area.
• Provide simple, understandable instructions regarding eating, drinking, and activities leading up to the procedure.

Proper patient education thus helps in ensuring a smoother procedure and better recovery.

Pain Management

Pain management is essential in a renal biopsy to ensure patient comfort. Though the procedure isn’t typically known for extreme pain, it can cause discomfort at the needle entry site. Therefore, effective steps are taken to manage any pain that the patient might experience.
A local anesthetic is administered to numb the specific area where the needle enters, which greatly helps in minimizing discomfort. Additionally, it may be helpful to guide patients on what sensations they might experience and to reassure them by informing what pain relief options are available both during and after the biopsy. Addressing pain management adequately supports a more positive overall experience and reduces anxiety related to the procedure.

Nursing Procedures

Nursing procedures are critical to the successful execution of a renal biopsy. Nurses engage in several responsibilities to ensure the safety and comfort of the patient throughout the process. Key roles a nurse plays in a renal biopsy include:

• Verifying patient understanding by explaining the procedure and answering any questions.
• Preparing the necessary equipment and supplies for the biopsy.
• Administering or assisting in the administration of local anesthesia.
• Monitoring the patient’s vital signs during and after the procedure.
• Providing post-procedure care instructions, such as resting and monitoring for any unusual symptoms.

These nursing actions are essential to ensure patient safety, comfort, and the accurate completion of the renal biopsy. They help facilitate an effective collaboration between the medical team and the patient, promoting optimal healthcare delivery.