A nurse is caring for a client who is two days postoperative following the creation of an ileal conduit. Which of the following is an unexpected finding associated with this procedure?

Urine in the drainage appliance

Redness of the stoma

Feces in the drainage appliance

Edema of the stoma

Answer and Explanation

The Correct Answer is C

Choice A reason: Urine in the drainage appliance is an expected finding since the ileal conduit diverts urine through the stoma.
Choice B reason: Redness of the stoma is a normal finding postoperatively as the tissue heals.
Choice C reason: Feces in the drainage appliance is unexpected and indicates a possible fistula or leakage from the intestine into the urinary tract.
Choice D reason: Edema of the stoma is common postoperatively due to surgical trauma and is typically temporary.

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Correct Answer is D

Explanation

Choice A reason: Hypercalcemia is not a typical electrolyte imbalance seen in prerenal acute kidney injury (AKI). Instead, the focus should be on electrolytes more directly related to kidney function.
Choice B reason: Hypernatremia, or high sodium levels, can occur but is not as typical or expected as other imbalances in prerenal AKI.
Choice C reason: Hypophosphatemia, or low phosphate levels, is not a typical finding in prerenal AKI. Phosphate levels are more likely to be affected by other conditions.
Choice D reason: Hyperkalemia, or elevated potassium levels, is a common and significant electrolyte imbalance seen in prerenal AKI. The kidneys' reduced ability to excrete potassium leads to its accumulation in the blood, which can cause serious complications such as cardiac arrhythmias.

A. Intake and output B. Abdominal girth C. Blood pressure D. Cardiac output

Correct Answer is B

Explanation

Choice A reason: Intake and output are important for overall fluid balance but do not directly measure the reduction in ascites after a paracentesis.
Choice B reason: Measuring abdominal girth provides a direct and specific indication of the volume of fluid removed from the peritoneal cavity. A decrease in abdominal girth indicates that the procedure effectively reduced the ascites.
Choice C reason: Blood pressure can be influenced by many factors and does not specifically measure the outcome of a paracentesis.
Choice D reason: Cardiac output is related to heart function and is not a direct measure of the success of a paracentesis in removing ascitic fluid.

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A nurse is caring for a client who is two days postoperative following the creation of an ileal conduit. Which of the following is an unexpected finding associated with this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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