A nephrostomy tube is inserted in a client with a large ureteral calculus. Which is the most important consideration in providing nursing care for this client?
A) Clamp the tube for no longer than 2 hours at a time.
B) Maintain free, continuous urine drainage.
C) Leave nephrostomy site open to the air.
D) Use only sterile NSS to irrigate the tube.
B
Feedback:
Clamping or kinking of the tube will create backup of urine into the renal pelvis, resulting in hydronephrosis and can contribute to renal damage. Always make sure the urine is allowed to flow continuously and freely and do not irrigate. The nephrostomy tube is inserted through a stab wound and enters the kidney. A sterile dressing should be used to prevent pathogen entry.
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