NCLEX Practice Questions: Adult Nephrostomy Tube (Management of Care)

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Question:

The provider has ordered a nephrostomy tube for a client in the nurse's care. How should the nurse explain the procedure for nephrostomy tube placement to the client?

Answer:

A) The tube is placed directly into the kidney to drain urine

Rational:

In nephrostomy tube placement, the tube is placed directly into the kidney in order to drain urine. Any handling of the nephrostomy tube must include strict aspsis by the nurse, since the tube is placed directly into an internal organ. The provider may write an order to irrigate the tube. Irrigation should only be done IF there is an order, using strict aseptic technique, with a maximum of 5 mL sterile normal saline per flush.

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