A patient has had a renal stent removed. What should be included ...

[maychende]

A patient has had a renal stent removed. What should be included in the care of this patient?
 
  1. monitoring urine output
  2. encouraging ambulation
  3. ensuring adequate protein intake
  4. monitoring blood pressure

Question 2

A patient is discharged after transurethral resection of a superficial bladder tumor. What should the nurse include in this patient's discharge instructions?
 
  Select all that apply.
  1. Avoid constipation and continue to use stool softener.
  2. Increase fluid intake.
  3. Maintain bed rest.
  4. Call the physician if painless hematuria develops.
  5. Make a follow-up appointment in 1 year.

[coyin]

Answer to Question 1

Correct Answer: 1
Urine output should be monitored closely for the first 24 hours after stents are removed. Edema or stricture of ureters may impede output and lead to hydronephrosis and kidney damage. Ambulation, adequate protein intake, and blood pressure monitoring are all important in the care of this patient; however, ensuring that urine output is adequate following stent removal is the highest priority.

Answer to Question 2

Correct Answer: 1, 2, 4
The patient should be instructed to avoid straining with stool, take a stool softener, increase fluids to 25003000 mL/day, and monitor for excessive bleeding. Bed rest is not necessary after this surgery. Follow-up appointments will be scheduled more frequently than every year.

[maychende]

Excellent

[Jossy]

TYSM