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?

Choice A reason: Intake and output are important for overall fluid balance but do not directly measure the reduction in ascites after a paracentesis.
Choice B reason: Measuring abdominal girth provides a direct and specific indication of the volume of fluid removed from the peritoneal cavity. A decrease in abdominal girth indicates that the procedure effectively reduced the ascites.
Choice C reason: Blood pressure can be influenced by many factors and does not specifically measure the outcome of a paracentesis.
Choice D reason: Cardiac output is related to heart function and is not a direct measure of the success of a paracentesis in removing ascitic fluid.

Choice A reason: Urinary incontinence is the involuntary leakage of urine and is not specifically associated with the described urine characteristics of dark amber, cloudiness, and unpleasant odor. These symptoms indicate an infection rather than a condition involving control over urination.
Choice B reason: Urinary retention involves the inability to completely empty the bladder, leading to retained urine. It does not typically manifest with dark amber, cloudy urine, and unpleasant odor, which are more indicative of an infection.
Choice C reason: Urinary frequency refers to the need to urinate more often than usual and does not specifically align with the described urine characteristics. The focus in this case is on the urine's appearance and smell, pointing more towards an infection.
Choice D reason: Urinary tract infection (UTI) is the most likely condition associated with dark amber, cloudy urine, and unpleasant odor. UTIs result from bacterial infection, leading to inflammation and the presence of pus or blood, which causes the described symptoms. Prompt diagnosis and treatment are necessary to prevent complications.