A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.
The nurse is aware the stoma will be in what area of the client's abdomen?

Choice A rationale

Irrigating the catheter without checking for kinks first may not address the underlying issue and can potentially cause harm.

Choice B rationale

Adjusting the rate of the bladder irrigant may not resolve the issue if the catheter tubing is kinked.

Choice C rationale

Notifying the provider without first checking for kinks may delay the resolution of the problem.

Choice D rationale

Checking the tubing for kinks is the first action to ensure there is no obstruction preventing the flow of urine. .

Choice A rationale

Preparing the client for lithotripsy is important for treatment but is not the immediate highest priority in an emergency setting. Immediate pain management takes precedence.

Choice B rationale

Ordering a renal ultrasound is necessary for assessing the stones but comes after stabilizing the client's acute symptoms, including managing pain.

Choice C rationale

Administering pain medication as prescribed is the highest priority because renal colic causes severe pain. Immediate pain relief is crucial for the client's comfort and to facilitate further diagnostic and therapeutic interventions.

Choice D rationale

Initiating IV fluid therapy is important for hydration and possibly aiding stone passage but follows after addressing the acute pain.