The performance of a renal brush biopsy provides specific information when an x-ray finding of the ureter or renal pelvis is abnormal
The nurse providing care to her patient who had a brush biopsy 12 hours ago will notify the physician of the following condition:
A) Hematuria
B) Renal colic
C) Temperature 100.2° F orally
D) Infiltration of the patient's intravenous catheter infusing Dextrose 5% and .45 normal saline solution
Ans: C
Feedback: After the procedure, the patient will likely receive intravenous fluids to help clear the kidneys and prevent clot formation. Infiltration of the IV site requires the notification of the IV team or placement of a new IV catheter by the staff nurse so that fluid administration can continue. Hematuria and renal colic are common and expected findings after the performance of a renal brush biopsy. The physician should be notified of the patient's elevated body temperature, as it likely indicates the onset of an infectious process.
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