A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

"You will wear an external collection bag to drain your urine."

"You will have an internal pouch to store your urine."

"You will have a stoma that is located in your abdomen."

"You will not be able to control your urination."

Answer and Explanation

The Correct Answer is B

A. "You will wear an external collection bag to drain your urine." An external collection bag is required for an ileal conduit, not a neobladder, where urine is stored internally.

B. "You will have an internal pouch to store your urine." A neobladder is created using a portion of the intestine to form a new bladder, which stores urine internally. The client may be able to void through the urethra.

C. "You will have a stoma that is located in your abdomen." A stoma is associated with an ileal conduit or a urostomy, not with a neobladder. A neobladder does not require an external stoma.

D. "You will not be able to control your urination." Initially, the client may have difficulty controlling urination until they learn how to use the neobladder. Over time, they may regain some control.

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Correct Answer is B

Explanation

A. Ripe bananas: Ripe bananas are typically recommended to help manage diarrhea because they are low in fiber and can help firm up stool.

B. Caffeinated beverages: Caffeinated beverages can act as stimulants, increasing bowel motility and potentially leading to diarrhea.

C. White rice: White rice is generally binding and can help manage diarrhea, not cause it.

D. Low-fiber cereal: Low-fiber cereals are less likely to cause diarrhea as they do not promote bowel motility.

A. It produces vitamin D. B. It absorbs liquid to form stool. C. It prevents the reflux of food into the esophagus. D. It secretes enzymes to digest food.

Correct Answer is C

Explanation

A. The nurse coats the indwelling urinary catheter with lubricant. This is correct procedure and requires no intervention. Lubricating the catheter reduces friction and discomfort during insertion.

B. The nurse applies the sterile drape prior to inserting the urinary catheter. This is correct procedure and requires no intervention. The sterile drape maintains a sterile field.

C. The nurse separates the client's labia with her dominant hand. The nurse should separate the client's labia with her non-dominant hand, which then remains in place as a "dirty" hand. The dominant hand, which remains sterile, is used to insert the catheter.

D. The nurse provides perineal care prior to inserting the urinary catheter. This is correct procedure and requires no intervention. Perineal care reduces the risk of introducing bacteria into the urinary tract.

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A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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