Your patient has a nephrostomy that has been inserted because of an obstruction in the ureter. Special precautions in the care of the inserted nephrostomy tube include:
1. clamping every 2 hours to allow expansion of the kidney pelvis.
2. instilling no more than 50 mL of sterile water if sterile irrigations are ordered.
3. being certain that the tube is connected, not kinked or clamped, so that it drains continuously.
4. leaving the nephrostomy site open to air.
3
Because of the small capacity of the renal pelvis, you must ensure that drainage is continu-ous or the urine may back up and destroy nephrons.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 848
OBJ: 4 TOP: Nephrostomy Tube
KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity
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