A Client Returned to the Nursing Unit After Having a Nephrostomy

question 1

Multiple Choice

A client returned to the nursing unit after having a nephrostomy performed.Over the next 6 hours,drainage in the tube has gone from 40 mL/hr to 12 mL over the last hour.Which intervention by the nurse is most appropriate?

• A) Document the finding in the client's record.
• B) Evaluate the tube as working in the hand-off report.
• C) Clamp the tube in preparation for removing it.
• D) Assess the client's abdomen and vital signs.

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Definitions:

Ease Down

This term might refer to a process or action of reducing intensity or slowly diminishing an activity, but without a specific context, it's hard to define precisely.

Ambulating

The act of walking or moving around, often used in medical contexts to refer to a patient's ability to walk independently.

Deep Vein Thrombosis

A medical condition where a blood clot forms in a deep vein, commonly in the legs, which can lead to serious complications if untreated.

Homans' Sign

A clinical sign for deep vein thrombosis, where pain in the calf is elicited when the foot is dorsiflexed with the knee straight.