The nurse is caring for a patient who underwent a right nephrostomy to relieve hydronephrosis. Which intervention is most important for this patient?
a. Assist the patient with turning every 2 hours.
b. Irrigate the nephrostomy tube once per shift.
c. Assess urinary output from the left kid-ney.
d. Keep the nephrostomy tube clamped.
C
The left kidney will take on increased renal metabolism and must be assessed constantly. While it is important for the patient to turn, positioning of the patient depends on the surgeon's orders. Frequent turning and deep breathing may help prevent complications but monitoring the unaf-fected kidney is most important. A nephrostomy tube should never be irrigated or clamped without a specific provider's order that defines the circumstances and the amount of irrigation fluid.
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