Which health care provider prescription for a client with a nephrostomy tube should a nurse question?

Monitor the urine’s color and odor.

Record the intake and output every eight hours.

Irrigate the tube with 30 mL of sterile saline as needed.

Measure the vital signs every four hours during the day.

Answer and Explanation

The Correct Answer is C

Irrigating the tube with 30 mL of sterile saline as needed. This prescription should be questioned by the nurse because it may cause trauma to the kidney or dislodge the tube. The nurse should only irrigate the tube if ordered by the health care provider and with a smaller amount of fluid.

Choice A is wrong because monitoring the urine’s color and odor is an appropriate intervention for a client with a nephrostomy tube. The urine may be bloody or cloudy initially, but it should gradually clear.

Choice B is wrong because recording the intake and output every eight hours is also an appropriate intervention for a client with a nephrostomy tube. The nurse should measure and document the amount and characteristics of urine drainage and report any changes or abnormalities.

Choice D is wrong because measuring the vital signs every four hours during the day is a reasonable prescription for a client with a nephrostomy tube. The nurse should monitor the client for signs of infection, bleeding, or obstruction.

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Correct Answer is D

Explanation

30 to 40 mL/hour. This is the normal range of urine output for a typical adult client. The urine output should be at least 0.5 mL/kg/hour for adults.

Assuming an average weight of 70 kg, this would be 35 mL/hour.

Choice A is wrong because 5 to 10 mL/hour is too low and indicates oliguria, which is a sign of inadequate kidney function or dehydration.

Choice B is wrong because 12 to 15 mL/hour is also below the normal range and may indicate oliguria.

Choice C is wrong because 16 to 25 mL/hour is slightly below the normal range and may indicate reduced kidney perfusion or fluid intake.

A. High self-esteem. B. Antisocial personality traits. C. Good communication skills. D. Aggressive behaviors.

Correct Answer is B

Explanation

According to the Addiction Nursing Competencies, antisocial personality traits are one of the risk factors for developing addictive behaviors.

Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, impulsivity, deceitfulness, and lack of remorse.

Choice A is wrong because high self-esteem is not associated with addictive behaviors. On the contrary, low self-esteem, passivity, and inability to relax or defer gratification are some of the personality factors that can predispose a person to substance use disorders.

Choice C is wrong because good communication skills are not related to addictive

behaviors. In fact, poor communication skills, social isolation, and lack of support are some of the psychosocial factors that can contribute to substance use disorders.

Choice D is wrong because aggressive behaviors are not a specific indicator of addictive behaviors.

Aggression can be a result of various factors, such as frustration, anger, stress, or mental illness. Aggression can also be influenced by the type and amount of substance used.

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Which health care provider prescription for a client with a nephrostomy tube should a nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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