Medical-Surgical Nursing

A 77 year old man was diagnosed with a right renal tumor size 3.5 cm.

he underwent a radical right nephrectomy. Which of following pot operative cares is of high priority?

  1. A Take body temperature
  2. B Measure hourly urine output Correct answer
  3. C Provide sips of clear liquid
  4. D Turn client from side to side

Explanation

Core Concept: Post-operative nursing care and monitoring of solitary kidney function.

Clinical Presentation:

  • Flank pain, hematuria, and a palpable abdominal mass (classic triad for renal cell carcinoma).

Diagnosis:

  • First-line: Renal ultrasound or CT abdomen/pelvis.
  • Gold Standard: CT/MRI with contrast and tissue biopsy.

Management:

  • Acute: Post-nephrectomy, the highest priority is monitoring the function of the remaining solitary kidney by measuring hourly urine output (goal >30 mL/hr) and assessing for hemorrhage.
  • Long-term: Monitor renal function (BUN/Creatinine), manage blood pressure, and strictly avoid nephrotoxic medications to protect the remaining kidney.

40 free questions with an account

The questions published here are a fixed sample. Create a free account to practise on the full bank, with performance analytics by specialty and a page for reviewing your mistakes.

Create a free account

No payment card