The off-going nurse is giving shift report to the oncoming nurse about the care of a patient who had a nephrostomy tube placed 3 days ago and it is to remain in place until the urinary obstruction is resolved. What is the most important point to clearly communicate about the urine drainage?
a. "Urine is draining only into the collection bag, not the bladder; therefore, the minimum expected drainage is 30 mL/hour."
b. "For the first 24 hours postoperatively, the amount of urinary drainage was assessed every hour."
c. "The surgeon placed ureteral tubes so all the urine may pass through the bladder or all of the urine might go directly into the collection bag."
d. "The nephrostomy site has not been leaking any blood or urine and you should continue to monitor the site for leakage."
Answer: a. "Urine is draining only into the collection bag, not the bladder; therefore, the minimum expected drainage is 30 mL/hour."
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