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 C
Explanation
Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.
Correct Answer is D
Explanation
Choice A reason: The phrase "Achent has control rion" is incorrect and unclear. It seems to be a typographical error and does not convey any meaningful information about an ileal conduit.
Choice B reason: Stool is not passed through an ileal conduit. An ileal conduit is a type of urinary diversion, where urine is diverted from the kidneys to an external pouch through a segment of the ileum, not for stool passage.
Choice C reason: An ileal conduit does not directly connect the kidney to an external pouch. It involves the use of a segment of the small intestine (ileum) to create a passageway for urine to be collected in an external pouch.
Choice D reason: This is the correct explanation. An ileal conduit involves attaching the ureters to a segment of the small intestine (ileum) to divert urine to an external pouch, bypassing the bladder.
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