A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply).
Educate the client that hematuria is expected following the procedure.
Notify the provider immediately if mucus is present in the urine.
Monitor hourly urine output.
Apply skin barrier around the stoma site.
Maintain the client on a fluid restriction.
Correct Answer : A,C,D
A. Hematuria is commonly expected following an ileal conduit procedure due to the surgical intervention in the urinary tract.
B. Mucus in the urine is a normal finding after an ileal conduit procedure because the ileum secretes mucus naturally; it does not require immediate notification of the provider unless there are other concerning symptoms.
C. Monitoring hourly urine output is crucial to ensure the patency of the urinary system and to detect any early signs of complications such as obstruction or leakage.
D. Applying a skin barrier around the stoma site is essential to protect the skin from the corrosive effects of urine and to prevent skin breakdown.
E. Fluid restriction is not typically required unless specifically indicated by the provider for other medical reasons; maintaining adequate hydration is important for the client's recovery and to ensure proper urine production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Administer an analgesic: Essential. The client is experiencing sudden, sharp chest pain and appears anxious, which indicates the need for pain management.
Initiate a weight-based continuous heparin infusion: Non-essential. This intervention is related to anticoagulation management and is not indicated for the immediate management of a pneumothorax or pain.
Initiate supplemental oxygen: Essential. The client has a low pulse oximetry reading of 85%, indicating a need for supplemental oxygen to improve oxygenation.
Prepare client for a chest tube insertion: Essential. The chest x-ray shows a right upper lobe pneumothorax, and preparing for chest tube insertion is crucial for managing this condition.
Insert an indwelling urinary catheter: Non-essential. There is no indication from the client's current condition that an indwelling urinary catheter is required.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
- Administer furosemide: The patient has signs of pulmonary edema which needs to be managed.
- Administer ordered Epinephrine drip: Epinephrine is crucial for managing hemodynamic instability.
- Insert an indwelling urinary catheter: Monitoring urine output helps assess kidney function and fluid balance.
- Administer ordered low dose dopamine: Useful for maintaining renal perfusion and blood pressure.
- Administered 0.9% NS 500 mL bolus: Helps address hypotension and volume deficit.
- Administer ordered nitroglycerin: Not needed in this acute post-arrest phase unless specifically indicated for managing ongoing angina or heart failure symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.