A patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter. What special precautions in the care of the nephrostomy tube should the nurse implement?
Leaving the nephrostomy site open to air.
Instilling no more than 50 mL of sterile water if sterile irrigations are ordered.
Clamping every 2 hours to allow expansion of the kidney pelvis.
Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains.
The Correct Answer is D
A. Leaving the nephrostomy site open to air: The nephrostomy site should be covered with a sterile dressing to prevent infection.
B. Instilling no more than 50 mL of sterile water if sterile irrigations are ordered: Irrigation should be done with care, and no more than 5-10 mL of sterile solution is typically instilled to avoid kidney damage.
C. Clamping every 2 hours to allow expansion of the kidney pelvis: Clamping the nephrostomy tube is contraindicated as it can lead to increased pressure in the kidney, worsening the obstruction and potentially causing damage.
D. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains: Ensuring the tube remains patent and continuously drains is essential to avoid complications such as hydronephrosis or infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The sclera of the eye is yellow while on therapy: Yellowing of the sclera is not a common effect of phenazopyridine but may suggest liver dysfunction, which is not associated with this drug.
B. Urine will have a foul smell while taking this medication: Phenazopyridine does not cause urine to have a foul smell. It only changes the color.
C. Diarrhea and abdominal cramping are expected adverse effects: Gastrointestinal side effects are not typically associated with phenazopyridine.
D. Urine will appear reddish orange: Phenazopyridine, a urinary tract analgesic, can cause a reddish-orange discoloration of the urine, which is harmless but may stain clothing or contact lenses.
Correct Answer is D
Explanation
A. Childhood disease of mumps: Mumps does not typically result in glomerulonephritis.
B. Frequent cystitis: Cystitis affects the bladder and does not lead to glomerulonephritis.
C. Recent wound infection: While infections can cause systemic inflammation, glomerulonephritis is commonly linked to streptococcal infections.
D. Streptococcal infection: Acute post-streptococcal glomerulonephritis is an immune response following a group A streptococcal infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.