A nurse is caring for a client who is two days postoperative following the creation of an ileal conduit. Which of the following is an unexpected finding associated with this procedure?
Urine in the drainage appliance
Redness of the stoma
Feces in the drainage appliance
Edema of the stoma
The Correct Answer is C
Choice A reason: Urine in the drainage appliance is an expected finding since the ileal conduit diverts urine through the stoma.
Choice B reason: Redness of the stoma is a normal finding postoperatively as the tissue heals.
Choice C reason: Feces in the drainage appliance is unexpected and indicates a possible fistula or leakage from the intestine into the urinary tract.
Choice D reason: Edema of the stoma is common postoperatively due to surgical trauma and is typically temporary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hepatitis A primarily affects the liver, not the kidneys.
Choice B reason: The manifestations of hepatitis A are similar to flu-like symptoms, including fever, fatigue, nausea, and jaundice.
Choice C reason: The incubation period of hepatitis A is typically 15 to 50 days, not 5 days.
Choice D reason: A family history does not increase the risk of hepatitis A, which is transmitted through the ingestion of contaminated food and water.
Correct Answer is C
Explanation
Choice A reason: Magnesium levels are not typically elevated in acute pancreatitis. Abnormalities in magnesium levels are more often related to other conditions such as kidney disease.
Choice B reason: Calcium levels are often decreased, not elevated, in acute pancreatitis due to fat necrosis binding calcium.
Choice C reason: Amylase levels are typically elevated in acute pancreatitis because the pancreas releases this enzyme during inflammation. Elevated amylase is a key diagnostic marker for pancreatitis.
Choice D reason: RBC count is not typically elevated in acute pancreatitis. Changes in RBC count are more indicative of other conditions like anemia or dehydration.
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