A patient had a renal stent removed. Which intervention is the priority of care for this patient?
1. Monitor urine output.
2. Encourage ambulation.
3. Ensure an adequate protein intake.
4. Monitor blood pressure.
1
Rationale 1: Urine output is closely monitored for the first 24 hours after stents or ureteral catheters are removed. Edema or stricture of ureters may impede output and lead to hydronephrosis and kidney damage.
Rationale 2: Ambulation is important in the care of this patient; however, it is not the highest priority.
Rationale 3: Adequate protein intake is important in the care of this patient; however, it is not the highest priority.
Rationale 4: Blood pressure monitoring is important in the care of this patient; however, it is not the highest priority.
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