What should nursing care focus on when caring for a patient with a ureteral catheter in place after the removal of a kidney stone?

Including ureteral output with the bladder output

Early ambulation

Assessing for patency

Irrigating the catheter regularly

Answer and Explanation

The Correct Answer is C

A. Including ureteral output with the bladder output: Ureteral catheter output should be measured separately to ensure accurate monitoring of each source.

B. Early ambulation: While ambulation is beneficial for overall recovery, the priority is ensuring the catheter is patent and urine is draining freely.

C. Assessing for patency: Ensuring the ureteral catheter is patent and draining prevents complications such as obstruction, hydronephrosis, or infection.

D. Irrigating the catheter regularly: Ureteral catheters are not routinely irrigated, as improper irrigation can damage the ureters or kidneys.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Decreasing ability to concentrate or dilute urine: Age-related changes in kidney function reduce the ability to regulate urine concentration.

B. Decreasing erythropoietin: Reduced erythropoietin production in older adults can lead to anemia.

C. Sclerosis of renal blood vessels: Age-related vascular changes reduce kidney perfusion and function.

D. Thinning of nephron membranes: This is not a typical age-related change; nephron membranes generally remain structurally intact.

E. Decreasing glomerular filtration: The decline in glomerular filtration rate (GFR) with age impacts drug clearance and overall kidney function.

A. Check for edema of the legs and ankles. B. Watch for stone debris in the urine in 1 to 4 weeks. C. Remain on restricted activity for a week. D. Decrease fluid intake to 1000 mL/day.

Correct Answer is B

Explanation

A. Check for edema of the legs and ankles: Edema is not a common complication of lithotripsy. Monitoring for stone fragments and urinary symptoms is more relevant.

B. Watch for stone debris in the urine in 1 to 4 weeks: Lithotripsy fragments stones, and the patient is expected to pass debris in the urine for several weeks post-procedure.

C. Remain on restricted activity for a week: Patients can usually resume normal activity shortly after lithotripsy unless otherwise instructed.

D. Decrease fluid intake to 1000 mL/day: Increased fluid intake is encouraged to help flush out stone fragments and reduce the risk of recurrence.

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What should nursing care focus on when caring for a patient with a ureteral catheter in place after the removal of a kidney stone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?

Correct Answer is B

Explanation

A patient who has cystitis has been told to drink at least 30 mL for each kilogram of body weight. Her weight is 154 lb. How many mL/day should the nurse instruct the patient to drink?

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