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 B
Explanation
A. Potassium sparing: Loop diuretics are not potassium-sparing; they increase potassium excretion.
B. Potassium depleting. Loop diuretics, such as furosemide, promote the excretion of sodium, potassium, and water.
C. Less potent as a diuretic: Loop diuretics are among the most potent diuretics available.
D. Increases the reabsorption of water: Loop diuretics inhibit water reabsorption by blocking sodium and chloride reabsorption in the loop of Henle.
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.
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