Page 1864 - Saunders Comprehensive Review For NCLEX-RN

nephrectomy.
c. Before surgery, radiation may be used
to embolize (occlude) the arteries
supplying the kidney to reduce
bleeding during nephrectomy.
2. Postoperative interventions
a. Monitor vital signs for signs of bleeding
(hypotension and tachycardia).

b. Monitor for abdominal

distention, decreases in urinary output,
and alterations in level of
consciousness as signs of bleeding;
check the bed linens under the client
for bleeding.

c. Monitor for signs of adrenal

insufficiency, which include a large
urinary output followed by
hypotension and subsequent oliguria.
d. Administer fluids and packed red
blood cells intravenously as
prescribed.
e. Monitor intake and output and daily
weight.

f. Monitor for a urinary output of

30 to 50 mL/hr to ensure adequate
renal function.
g. Maintain the client in a semi-

Fowler’s position.
h. If a nephrostomy tube is in

place, do not irrigate (unless
specifically prescribed) or manipulate
the tube.
XXIII. Epididymitis
A. Description
1. Acute or chronic inflammation of the epididymis that
occurs as a result of a UTI, STI, prostatitis, or long-
term use of a bladder catheter
2. The infective organism travels upward through the
urethra and ejaculatory duct and along the vas
deferens to the epididymis.
B. Assessment

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