The nurse is teaching a patient recovering from a nephrectomy for kidney cancer. What should the nurse include in this teaching?
1. early recognition of a urinary tract infection (UTI)
2. ways to limit fluids
3. promoting high-impact sports and activities
4. organ donor information
Correct Answer: 1
If renal cancer was detected at an early stage and cure is anticipated, teaching should focus on protecting the remaining kidney, including measures to prevent infection, renal calculi, hydronephrosis and trauma; maintain a fluid intake of 2000 to 3000 mL per day, and increase the amount during hot weather or strenuous exercise; urinate when the urge is perceived and before and after sexual intercourse; properly clean the perineal area; manifestations of urinary tract infection (UTI), and the importance of early and appropriate evaluation and intervention; manifestations of prostatic hypertrophy; avoid contact sports such as football or hockey; and measures to prevent motor vehicle accidents or falls, which could damage the kidney. A discussion of organ donor information is not relevant.
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