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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Carvedilol does not significantly increase the risk of rhabdomyolysis when used with colchicine.
B. Omeprazole does not interact with colchicine in a way that increases the risk of rhabdomyolysis.
C. Hydrochlorothiazide does not have a known interaction with colchicine that significantly increases the risk of rhabdomyolysis.
D. Atorvastatin increases the risk of rhabdomyolysis when used with colchicine, as both can contribute to muscle damage.
Correct Answer is ["8"]
Explanation
Given:
- IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline.
- The prescribed rate is 8 units/hr.
First, we find out how many units are present in 1 mL of the IV solution:
100 units / 100 mL = 1 unit / 1 mL
Now, since the prescribed rate is 8 units/hr, we need to infuse 8 mL/hr of the IV solution to deliver 8 units of insulin per hour.
So, the nurse should program the infusion pump to deliver 8 mL/hr.
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