Question

A client with hydroureteronephrosis has been scheduled for a nephrostomy. When caring for the client with a nephrostomy, the nurse should: A. Clamp the tubing for 15 minutes every hour B. Irrigate the tubing with normal saline to remove clots C. Avoid clamping or kinking the tubing D. Suspend the tubing above the level of the abdomen

Short answer

Answer: Avoid clamping or kinking the tubing.

Step-by-step solution

Understand the scenario and the terms involved

The scenario given is a client with hydroureteronephrosis being scheduled for a nephrostomy. We need to understand what these terms mean: Hydroureteronephrosis: This is a condition in which urine is blocked from flowing through the ureter and is causing swelling in the kidneys and ureter. Nephrostomy: This is a procedure in which a tube is placed directly into the kidney to allow urine to drain from the kidney and exit the body.

Analyze the given options

Let's analyze each option one by one: A. Clamp the tubing for 15 minutes every hour - This can lead to blocked urine flow, causing discomfort and pain to the client as well as possible complications. B. Irrigate the tubing with normal saline to remove clots - Though clotting is a common problem with nephrostomy tubes, irrigation should be done only when prescribed by the healthcare provider and not as a routine care measure. C. Avoid clamping or kinking the tubing - Correct care for a nephrostomy tube includes ensuring that the tube stays patent, so maintaining a free flow of urine is important. Avoiding clamps or kinks in the tubing is essential. D. Suspend the tubing above the level of the abdomen - Suspending the tubing above the abdomen may cause backflow of urine into the kidney, leading to complications such as infection or hydronephrosis.

Choose the correct option

Based on our analysis of each option, the best nursing care for a client with a nephrostomy includes avoiding clamping or kinking the tubing (Option C). So, the correct answer is: C. Avoid clamping or kinking the tubing.