The nurse is receiving in transfer from the postanesthesia care unit a client who has had percutaneous ultrasonic lithotripsy for calculuses in the renal pelvis. The nurse anticipates that the client’s care will involve monitoring which of the following?
A. Suprapubic tube
B. Urethral stent
C. Nephrostomy tube
D. Jackson-Pratt drain
Correct Answer: C. Nephrostomy tube
A nephrostomy tube is put in place after percutaneous ultrasonic lithotripsy to treat calculuses in the renal pelvis. The client may also have a Foley catheter to drain urine produced by the other kidney. The nurse monitors the drainage from each of these tubes and strains the urine to detect the elimination of the calculus fragments.
Option A: A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder. It is inserted into the bladder through a cut in the tummy, a few inches below the navel (tummy button). This is done under a local anesthetic or a light general anesthetic.
Option B: Urethral stent placement is a procedure to open a blockage or stricture (narrowing) of the urethra. The urethra is the tube that carries urine from the bladder out of the body. A stent is a small plastic or metal tube used to open the narrowed urethra.
Option D: A Jackson-Pratt (JP) drain is used to remove fluids that build up in an area of the body after surgery. The JP drain is a bulb-shaped device connected to a tube. One end of the tube is placed inside the client during surgery. The other end comes out through a small cut in the skin. The bulb is connected to this end. The client may have a stitch to hold the tube in place.
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