مريض عنده أنبوب تصريف كلوي (Nephrostomy). ما فيه تصريف من ساعتين ويشتكي ألم بالخاصرة. ما التصرف الصحيح؟

A client with a nephrostomy tube has had no drainage for 2 hours and reports flank pain. What is correct?

1. Pull the tube out slightly to free it
2. Check for kinks, notify provider, do not irrigate unordered
3. Irrigate forcefully with 50 mL of saline
4. Clamp the tube until the provider arrives

Answer: B) Check for kinks, notify provider, do not irrigate unordered. No drainage with pain suggests obstruction that can damage the kidney. Check for kinks and bag position and notify; irrigation, if needed, uses small volumes and only on order because the renal pelvis is small.