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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. Social worker: Social workers assist with social, emotional, and financial aspects of care, but they do not manage tracheostomies.
B. Respiratory therapist: This is the correct answer. Respiratory therapists specialize in airway management, including tracheostomy care, and are the appropriate team members for managing this aspect of care.
C. Occupational therapist: Occupational therapists help clients with activities of daily living and adaptive equipment but do not manage tracheostomies.
D. Registered dietitian: Dietitians focus on nutritional care and are not involved in tracheostomy management.
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