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: Regular exercise is not a risk factor for urinary tract infections (UTIs). In fact, regular physical activity can contribute to overall health and well-being, including supporting a healthy immune system. There is no direct connection between exercise and an increased risk of UTIs.
Choice b reason: Drinking plenty of water is a preventive measure rather than a risk factor for UTIs. Adequate hydration helps to flush out bacteria from the urinary tract through frequent urination, reducing the likelihood of infection. Encouraging good hydration is an important strategy to prevent UTIs.
Choice c reason: Eating a balanced diet is beneficial for overall health and does not increase the risk of UTIs. A well-balanced diet supports the immune system and overall bodily functions, which can help in preventing infections, including UTIs. Proper nutrition is not associated with an increased risk of urinary tract infections.
Choice d reason: Poor personal hygiene is a significant risk factor for urinary tract infections. Inadequate hygiene practices, such as not cleaning the genital area properly or wiping from back to front after using the toilet, can introduce bacteria into the urinary tract, leading to infection. Ensuring good personal hygiene is crucial in preventing UTIs.

Choice a reason: Straining all urine is an essential intervention for a patient with a kidney stone. This practice allows for the collection and analysis of any stones that pass, which can help determine their composition and guide future treatment and dietary recommendations. Identifying the type of stone is crucial for preventing recurrence.
Choice b reason: Restricting fluids is not recommended for patients with kidney stones. In fact, increasing fluid intake is encouraged to help flush out the urinary system, promote the passage of stones, and prevent the formation of new stones. Adequate hydration is a key component in managing and preventing kidney stones.
Choice c reason: Increasing calcium intake is not typically advised for patients with kidney stones, especially calcium oxalate stones. While calcium is an essential nutrient, excessive intake can contribute to stone formation. Dietary recommendations should be individualized based on the type of stones and the patient's overall health.
Choice d reason: Maintaining bedrest is not necessary for patients with kidney stones. Encouraging movement and activity can help facilitate the passage of stones. Bedrest may be recommended in specific cases where the patient is experiencing severe pain or complications, but generally, mobility is beneficial in managing kidney stones.