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 C

Explanation

A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.

B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.

C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.

D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.

A. Label the paper bag in which specimen container is placed. B. Send specimen container immediately to the lab. C. Use a sterile swab to obtain the specimen. D. Place the specimen in a sterile container.

Correct Answer is B

Explanation

A. Label the paper bag in which the specimen container is placed. The primary focus should be on labeling the specimen container itself, not just the bag.

B. Send the specimen container immediately to the lab. Sending the specimen to the lab immediately ensures the sample is analyzed while fresh, which is crucial for accurate results.

C. Use a sterile swab to obtain the specimen. Stool specimens do not require sterile swabs; instead, a clean container is used for collection.

D. Place the specimen in a sterile container. Stool samples are typically collected in clean containers, not necessarily sterile ones, as sterility is not required for stool analysis.

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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

A nurse is teaching a class about the general adaptive syndrome. The nurse should include that which of the following manifestations occurs during the exhaustion stage?

Correct Answer is C

Explanation

A nurse is caring for a client who needs a stool specimen collected. Which of the following actions should the nurse take when obtaining the specimen?

Correct Answer is B

Explanation

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