A client with a nephrostomy tube complains of pain and pressure at the site. The nurse would:
1. Assess for obstruction.
2. Irrigate the tube.
3. Clamp the tube.
4. Administer pain medication.
Assess for obstruction.
Rationale: The nurse should assess for obstruction of the tube because these signs and symptoms are related to nephrostomy tube obstruction. Irrigation of the tube is contraindicated unless ordered by the health care provider. Clamping the tube would further cause urine backflow and retention, which may lead to infection because of the stasis of urine. Administering pain medication will not resolve the cause of the tube obstruction.
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