Author Question: A 46-year-old male client with chronic renal problems is in the hospital for a nephrostomy. The ... (Read 50 times)

fnuegbu · **on:** Jul 23, 2018

A 46-year-old male client with chronic renal problems is in the hospital for a nephrostomy. The nurse understands that this is the surgical insertion of a tube that will drain urine from the cli-ent's:

1. Bladder
2. Urethra
3. Ureters
4. Renal pelvis

Question 2

A 34-year-old diabetic female client had a spontaneous vaginal birth of a 37-week 6.2 kg infant. The nurse caring for the client post-partum understands that due to the traumatic birth the client is at increased risk for:

1. Acute urinary retention
2. Hematuria
3. Kidney failure
4. Enuresis

Missbam101 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
Some clients have a need for urinary drainage directly from one or both kidneys. In this case a tube placed directly into the renal pelvis. This procedure is called a nephrostomy.

Answer to Question 2

ANS: 1
In acute retention key signs are bladder distention and absence of urine output over several hours. The client under the influence of anesthetics or analgesics often feels only pressure, but the alert client has severe pain as the bladder distends beyond its normal capacity. In severe urinary retention the bladder holds as much as 2000 to 3000 mL of urine. Retention occurs as a result of urethral obstruction, surgical or childbirth trauma, alterations in motor and sensory innervation of the bladder, medication side effects, or anxiety.