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
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: While auscultating the client's lungs is important for overall assessment, it is not the immediate priority following pain management in acute pancreatitis.
Choice B reason: Providing oral hygiene is important for comfort and preventing infections but is not the immediate priority.
Choice C reason: Assisting the client to a side-lying position can help with comfort and prevent aspiration, but it is not the most critical intervention following pain management.
Choice D reason: Withholding oral fluids and food is the priority intervention to reduce pancreatic stimulation and enzyme secretion, which can exacerbate the inflammation and pain in acute pancreatitis. This intervention helps rest the pancreas and promote healing.
Correct Answer is B
Explanation
Choice A reason: Renal function is not reestablished during the oliguric phase of acute kidney injury. This phase is characterized by significantly reduced urine output, indicating ongoing impaired kidney function.
Choice B reason: Urine output of less than 400 mL per 24 hours is a defining feature of the oliguric phase. This reduced output reflects the kidneys' inability to filter and excrete waste products effectively.
Choice C reason: BUN (Blood Urea Nitrogen) and creatinine levels do not decrease during the oliguric phase; they typically increase due to the kidneys' reduced ability to clear these waste products from the blood.
Choice D reason: The glomerular filtration rate (GFR) does not recover during the oliguric phase. This phase is marked by a decreased GFR, indicating poor kidney function.
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