A client returned to the nursing unit after having a nephrostomy performed. Over the next 6 hours, drainage in the tube has gone from 40 mL/hr to 12 mL over the last hour. Which interven-tion by the nurse is most appropriate?

a. Document the finding in the client's record.
b. Evaluate the tube as working in the hand-off report.
c. Clamp the tube in preparation for remov-ing it.
d. Assess the client's abdomen and vital signs.


D
The nephrostomy tube should continue to have a consistent amount of drainage. If the drainage slows or stops, it may be obstructed. The nurse must notify the provider, but first should careful-ly assess the client's abdomen for pain and distention and check vital signs so that this informa-tion can be reported too. The other interventions are not appropriate.

Nursing

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