A patient has just returned to the nursing unit after having a renal biopsy. Which intervention is most important to include in the patient's nursing care plan?
a. Keep the patient NPO for the first 4 hours after the procedure.
b. Instruct the patient to avoid laughing and use a pillow to splint when sneezing.
c. Report hematuria immediately.
d. Teach the patient about the importance of limiting fluid intake.
B
Postprocedure care for the patient who has undergone a renal biopsy will include monitoring for bleeding, avoiding activities that could increase abdominal pressure, and keeping the patient flat for 6 to 24 hours. Laughing and sneezing increase abdominal pressure and should be avoided; splinting when sneezing will help to decrease abdominal pressure. Oral intake is encouraged. Bloody urine is expected for the first 24 hours after the biopsy. The patient should increase fluid intake unless otherwise contraindicated and drink at least 3000 mL of fluid to flush the urinary system.
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