Final answer:
Prior to a percutaneous kidney biopsy, a nurse should keep the client NPO for 4 to 6 hours, review coagulation studies, and assess for blood in the client's urine. Confirming essential imaging results and administering prophylactic antibiotics, if indicated, are also important steps.
Step-by-step explanation:
Before a client undergoes a percutaneous kidney biopsy, a nurse should take several actions to ensure the safety and readiness of the patient for the procedure. These actions typically include:
- Keeping the client NPO (nothing by mouth) for 4 to 6 hours to reduce the risk of aspiration during the procedure.
- Reviewing coagulation study results to ensure that the patient's blood coagulates properly, reducing the risk of bleeding.
- Assessing for blood in the client's urine, as the presence of blood could indicate potential complications or pre-existing conditions that may affect the procedure.
Maintaining strict bedrest in a supine position and administering the client's antihypertensive medications may also be important depending on the protocol of the healthcare facility and the patient's condition, but these actions are not universally required prior to a kidney biopsy. It's also crucial to confirm that all essential imaging results for the correct patient are displayed in the operating room and that prophylactic antibiotics have been administered if indicated.
Under the direct supervision of a registered nurse, the focus is on providing safe and effective care, which includes preparing solutions and equipment to ensure accurate and sterile procedures as well as appropriately responding to patients' needs.