Question

a client with severe back pain and hematuria is found to have hydronephrosis due to urolithiasis. the nurse anticipates that which treatment will be done to relieve the obstruction? select all that apply.
answer options
1 peritoneal dialysis
2 analysis of the urinary stone
3 intravenous opioid analgesics
4 insertion of a nephrostomy tube
5 placement of a ureteral stent with ureteroscopy

Explanation:

1. Peritoneal dialysis is for kidney - function replacement, not for relieving obstruction due to urolithiasis.
2. Analyzing the urinary stone helps in long - term prevention but does not relieve the immediate obstruction.
3. Intravenous opioid analgesics relieve pain but do not remove the obstruction.
4. Insertion of a nephrostomy tube can bypass the obstruction and drain urine from the kidney.
5. Placement of a ureteral stent with ureteroscopy can directly relieve the obstruction in the ureter.

Answer:

1. Insertion of a nephrostomy tube
2. Placement of a ureteral stent with ureteroscopy