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 A

Explanation

Choice A reason: The mouth serves as the portal of entry for hepatitis A when the virus is ingested through contaminated food or water. The portal of entry is the site through which the pathogen enters the body to initiate infection. In this case, consuming contaminated food allows the hepatitis A virus to enter the body through the mouth, leading to infection.
Choice B reason: The infectious agent is the pathogen responsible for causing the disease. In this scenario, the hepatitis A virus is the infectious agent. However, the question asks about the portal of entry, which is the mouth, not the infectious agent itself.
Choice C reason: A susceptible host is an individual who is vulnerable to infection due to factors like a weakened immune system or lack of prior immunity. While the client in the question is a susceptible host, the specific answer to the question is about the portal of entry, which is the mouth.
Choice D reason: The reservoir is the natural habitat or environment in which the pathogen lives and multiplies. For hepatitis A, common reservoirs include contaminated food and water. The reservoir is not the focus of this question; rather, it is asking about the portal of entry, which is the mouth.

A. Mr. Smith, who has multiple sclerosis, has been managing his urinary retention with intermittent catheterization for several years. He has been depressed lately after losing his job and admitted at his last visit to having thoughts of self-harm. He left a message saying he had chills, fatigue, and an oral temperature of 103°F. B. Ms. Jones, who has had urinary frequency and urgency for many years, started on Ditropan at her last office visit. She left a message saying her urinary frequency has improved, but her mouth was very dry. C. Mr. Jones, a new patient expressing concerns over embarrassing symptoms of incontinence. D. Ms. Smith, who is 18 years old, called to cancel her afternoon appointment for her initial incontinence evaluation. Her message said her symptoms weren't that bad and she would call to reschedule.

Correct Answer is A

Explanation

Choice A reason: Mr. Smith requires immediate attention due to his multiple sclerosis and severe symptoms of chills, fatigue, and a high fever (103°F). These symptoms could indicate a severe infection such as a urinary tract infection (UTI) or even sepsis, which can be life-threatening, especially in individuals with a compromised immune system or chronic conditions like multiple sclerosis.
Choice B reason: Ms. Jones's dry mouth is a common side effect of Ditropan (oxybutynin), which is used to treat urinary frequency and urgency. While it is uncomfortable, it is not an emergency and can be addressed at the next visit or over a phone consultation.
Choice C reason: Mr. Jones, being a new patient with incontinence concerns, does not present an immediate emergency. This issue, while significant for his quality of life, can be managed through a scheduled appointment.
Choice D reason: Ms. Smith's decision to cancel her appointment due to her symptoms not being severe does not require immediate attention. She can be rescheduled for a later date without risk to her health.

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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

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Correct Answer is A

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