A nurse is collecting data on a client who is two days postoperative following creation of an ileal conduit. The nurse should report which of the following findings?

Urine in the drainage appliance

Feces in the drainage appliance

Mild edema of the stoma

Redness of the stoma

Answer and Explanation

The Correct Answer is B

a. Urine in the drainage appliance: The presence of urine in the drainage appliance is expected in a client with an ileal conduit, as this is the route for urine to exit the body.

b. Feces in the drainage appliance: An ileal conduit is created for urinary diversion, and feces

should not be present in the drainage appliance. This finding could indicate a complication and should be reported.

c. Mild edema of the stoma: Mild edema of the stoma may be expected in the early postoperative period and may not require immediate reporting unless it worsens.

d. Redness of the stoma: Some redness is normal around a stoma, and it may not require immediate reporting unless there are signs of infection or worsening inflammation.

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Correct Answer is A

Explanation

a. Serum potassium: Furosemide is a loop diuretic that can lead to potassium loss, potentially causing hypokalemia. Monitoring potassium levels is crucial to prevent complications such as cardiac arrhythmias.

b. Serum amylase: This is not directly related to furosemide therapy. Amylase is an enzyme associated with pancreatic and salivary function.

c. Serum triglyceride: Furosemide does not typically have a direct impact on serum triglyceride levels.

d. Serum cholesterol: Furosemide does not typically have a direct impact on serum cholesterol levels.

A. Respiratory acidosis - The low pH (acidosis) and elevated PaCO2 suggest respiratory acidosis, which is caused by inadequate ventilation leading to an accumulation of carbon dioxide. B. Metabolic acidosis - Metabolic acidosis is characterized by a low pH and decreased HCO3. C. Respiratory alkalosis - Respiratory alkalosis is characterized by a high pH and low PaCO2, which is not consistent with the provided arterial blood gas values. D. Metabolic alkalosis - Metabolic alkalosis is characterized by a high pH and increased HCO3, which does not align with the given values.

Correct Answer is A

Explanation

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A nurse is collecting data on a client who is two days postoperative following creation of an ileal conduit. The nurse should report which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client?

Correct Answer is A

Explanation

A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO3 of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?

Correct Answer is A

Explanation

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A nurse is collecting data on a client who is two days postoperative following creation of an ileal conduit. The nurse should report which of the following findings?