A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance:

Choice A reason: Renal function is not reestablished during the oliguric phase of acute kidney injury. This phase is characterized by significantly reduced urine output, indicating ongoing impaired kidney function.
Choice B reason: Urine output of less than 400 mL per 24 hours is a defining feature of the oliguric phase. This reduced output reflects the kidneys' inability to filter and excrete waste products effectively.
Choice C reason: BUN (Blood Urea Nitrogen) and creatinine levels do not decrease during the oliguric phase; they typically increase due to the kidneys' reduced ability to clear these waste products from the blood.
Choice D reason: The glomerular filtration rate (GFR) does not recover during the oliguric phase. This phase is marked by a decreased GFR, indicating poor kidney function.

Choice A reason: Wearing an external collection bag is typically associated with other types of urinary diversions, such as an ileal conduit, not a neobladder.
Choice B reason: A neobladder involves the creation of an internal pouch from a segment of the intestine that stores urine and allows for more natural urination, similar to the function of a natural bladder. This option provides the ability to void through the urethra.
Choice C reason: While some initial incontinence can occur after neobladder surgery, the goal is to eventually have voluntary control over urination with time and practice.
Choice D reason: Having a stoma located in the abdomen is characteristic of an ileal conduit or urostomy, not a neobladder. The neobladder is designed to avoid the need for an external stoma.