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
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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Related Questions
Correct Answer is ["B","D","E","F"]
Explanation
A. Topical estrogen: Estrogen therapy is used for recurrent UTIs in postmenopausal women due to atrophic changes but is not directly for UTI treatment.
B. Urinary tract antiseptics: These are used to prevent and treat UTIs by exerting a local antibacterial effect.
C. Diuretics: Diuretics promote urine production but do not treat infections.
D. Antispasmodic agents: These relieve bladder spasms associated with UTIs.
E. Antibiotics: Antibiotics are the primary treatment for UTIs.
F. Analgesics: Analgesics, such as phenazopyridine, are used to manage pain caused by UTIs.
Correct Answer is D
Explanation
A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.
B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.
C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.
D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.
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