A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance:

Daily at bedtime.

Twice a day.

When the bag is full.

When the bag is 2/3 full.

Answer and Explanation

The Correct Answer is D

Choice A reason: Emptying the appliance daily at bedtime is not frequent enough to prevent leakage and ensure comfort, especially if the bag fills up during the day or night.
Choice B reason: Emptying the appliance twice a day may not be sufficient, depending on the amount of urine output. It could lead to overfilling and leakage.
Choice C reason: Waiting until the bag is full can increase the risk of leakage and discomfort. It is essential to empty the bag before it gets too full.
Choice D reason: Emptying the appliance when it is 2/3 full is the recommended practice. This prevents overfilling, reduces the risk of leakage, and ensures the client's comfort and hygiene.

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Correct Answer is C

Explanation

Choice A reason: Mr. Dominic's pain has been controlled to a manageable level, and although he experienced elevated liver enzymes, there are no acute symptoms requiring immediate intervention. He has been able to sleep, indicating that his current condition is stable.
Choice B reason: Mr. Bradford, although experiencing discomfort and blood-tinged urine, is post-surgical, and his condition is stable with managed output. Ambulating is a positive sign post-surgery, indicating recovery. His condition needs monitoring but is not the most urgent.
Choice C reason: Mr. Jennings, who had a TURBT yesterday, is experiencing bladder spasms and high volume irrigation. The output is almost equivalent to the input, which is a positive sign, but bladder spasms can indicate irritation, infection, or a blockage that needs prompt assessment and intervention to prevent further complications.
Choice D reason: Ms. Griffiths presents a similar case to Mr. Dominic, with controlled pain and elevated liver enzymes. She is stable overnight, and her pain level is low after medication, indicating her condition is currently managed.

A. Hepatitis A infects the kidneys. B. Manifestations of the virus are similar to flu-like symptoms. C. The incubation of the virus is 5 days. D. A family history increases your risk for acquiring hepatitis A.

Correct Answer is B

Explanation

Choice A reason: Hepatitis A primarily affects the liver, not the kidneys.
Choice B reason: The manifestations of hepatitis A are similar to flu-like symptoms, including fever, fatigue, nausea, and jaundice.
Choice C reason: The incubation period of hepatitis A is typically 15 to 50 days, not 5 days.
Choice D reason: A family history does not increase the risk of hepatitis A, which is transmitted through the ingestion of contaminated food and water.

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A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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