مريض بعد خزعة الكلية عبر الجلد. أي ملاحظة تحتاج إبلاغاً فورياً؟

A client has had a percutaneous kidney biopsy. Which finding requires immediate reporting?

1. Increasing flank pain with a rising pulse and falling BP
2. Mild needle-site pain relieved by analgesia
3. Slightly pink urine on the first void after the biopsy
4. Feeling hungry after hours of fasting

Answer: A) Increasing flank pain with a rising pulse and falling BP. Bleeding is the key complication. Mild pink urine initially is expected, but increasing pain with tachycardia and hypotension suggests significant haemorrhage. Bed rest for hours and fluids are encouraged.