Nursing responsibilities
Nursing ResponsibilitiesBy: Christine Joy A.
AlaPre-OperativeAssess knowledge and understanding of the procedure
with the patient, providing information as needed. Rationale:
Anxiety is reduced and recovery is enhanced and hastened when the
client is fully prepared for surgery.
Pre-OperativeInform patient the basic needs to do before surgery
such as withholding food and fluids and for bowel
preparation.Assist patient to put on the hospital gown and let the
patient lie on the exam table on top of a soft, water-filled
cushion
Post-operativeMonitor vital signs for early indications of
infection; infections should be treated with the appropriate
antibioticagent before efforts are made to dissolve the
stone.Monitor amount, color and clarity of urine output.Maintain
placement and patency of urinary catheters.2. Urine is often bright
red initially, but bleeding should diminish within 48-72 hours.
Cloudy urine indicate the presence of infection3. A kinked or
plugged catheter may result in hydroureter, kidney damage..4. Many
patient have repeated episodes of lithiasis and renal colic.4
Post-operativeEncourage patients to increase fluid intake and to
ambulate to flush out stone fragments. Crush any blood clots passed
in urine, and inspect sides ofurinal and bedpan for clinging
stones.
2. Urine is often bright red initially, but bleeding should
diminish within 48-72 hours. Cloudy urine indicate the presence of
infection3. A kinked or plugged catheter may result in hydroureter,
kidney damage..4. Many patient have repeated episodes of lithiasis
and renal colic.5Post-operativeInstruct patient to report any
increase in pain.Explain that medications must be taken as
prescribed and may find comfort by applying warm packs
2. Urine is often bright red initially, but bleeding should
diminish within 48-72 hours. Cloudy urine indicate the presence of
infection3. A kinked or plugged catheter may result in hydroureter,
kidney damage..4. Many patient have repeated episodes of lithiasis
and renal colic.6
