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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?

A.

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

B.

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

C.

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

D.

"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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Related Questions

Correct Answer is C

Explanation

A. Apply friction when drying the client's skin. Friction can damage the skin, especially in clients with incontinence who are at risk for skin breakdown.

B. Use soap to clean the client's skin. Soap can be drying and irritating to the skin. pH-balanced cleansers are preferred to maintain skin integrity.

C. Apply a barrier cream to the client's skin. Barrier creams protect the skin from moisture, reducing the risk of skin breakdown and irritation from incontinence.

D. Use hot water to clean the client's skin. Hot water can dry out and damage the skin. Warm water should be used instead to gently clean the skin.

Correct Answer is C

Explanation

A. "Small electrodes are placed on my scalp." This statement describes an EEG, not the Rinne test. The Rinne test involves a tuning fork, not electrodes. This statement is incorrect.

B. "I will wear earphones during this test." This statement describes an audiometry test, not the Rinne test. The Rinne test uses a tuning fork, not earphones. This statement is incorrect.

C. "A tuning fork is placed on my head." The Rinne test is a hearing test that involves placing a vibrating tuning fork on the mastoid process behind the ear and then comparing the sound conducted through bone to the sound conducted through air.

D. "A small probe is placed inside my ear." This statement describes tympanometry or other tests that involve probes in the ear, not the Rinne test. The Rinne test uses a tuning fork placed on the mastoid bone and near the ear canal. This statement is incorrect.

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