A client with an ileal conduit is experiencing skin irritation around the stoma. Which nursing intervention is appropriate for managing this complication?

Choice a reason: Maintaining IV fluids and encouraging oral fluids is important for patients with renal colic to ensure hydration and facilitate the passage of kidney stones. However, it is not the most immediate action to take for managing the patient's current condition, which includes severe pain and hematuria.
Choice b reason: Promoting assisted ambulation as tolerated can help in the movement and passage of kidney stones. Nevertheless, it is not the priority action to take initially when the patient is experiencing severe pain and there is a need to identify the cause of the hematuria.
Choice c reason: Straining urinary output and observing for stones is the most appropriate initial action. This allows the nurse to collect any stones that pass, which can then be analyzed to determine their composition. Understanding the type of stone can help in planning further treatment and preventive measures. Identifying and collecting the stones is crucial for proper diagnosis and management of renal colic.
Choice d reason: Administering prescribed narcotic medication is essential for managing severe pain associated with renal colic. Pain management is a critical component of care. However, while it is necessary, it should be accompanied by straining the urine to detect any stones and understand the underlying cause of the symptoms.

Choice a reason: Preparing the client for surgery may be necessary if the urological obstruction requires surgical intervention. However, it is not the immediate priority. Before considering surgical preparation, the nurse must assess the client's current condition to determine the severity of the obstruction and its impact on vital signs and urine output.
Choice b reason: Providing emotional support to the client is important for overall care, but it is not the nurse's immediate priority in the case of a urological obstruction. Emotional support should be provided once the client's physical condition has been stabilized and assessed.
Choice c reason: Assessing vital signs and urine output is the nurse's priority in managing a client with a urological obstruction. Monitoring these parameters helps the nurse evaluate the severity of the obstruction, detect any signs of complications such as infection or renal failure, and guide further interventions. Immediate assessment ensures timely and appropriate management of the client's condition.
Choice d reason: Administering medication may be part of the client's treatment plan, but it is not the priority action. Medication administration should follow the assessment of the client's vital signs and urine output to ensure that the chosen interventions are appropriate for the client's current status. Prioritizing assessment allows for more targeted and effective treatment.