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 B

Explanation

Choice A reason: Wearing an external collection bag is typically associated with other types of urinary diversions, such as an ileal conduit, not a neobladder.
Choice B reason: A neobladder involves the creation of an internal pouch from a segment of the intestine that stores urine and allows for more natural urination, similar to the function of a natural bladder. This option provides the ability to void through the urethra.
Choice C reason: While some initial incontinence can occur after neobladder surgery, the goal is to eventually have voluntary control over urination with time and practice.
Choice D reason: Having a stoma located in the abdomen is characteristic of an ileal conduit or urostomy, not a neobladder. The neobladder is designed to avoid the need for an external stoma.

A. Magnesium B. Calcium C. Amylase D. RBC count

Correct Answer is C

Explanation

Choice A reason: Magnesium levels are not typically elevated in acute pancreatitis. Abnormalities in magnesium levels are more often related to other conditions such as kidney disease.
Choice B reason: Calcium levels are often decreased, not elevated, in acute pancreatitis due to fat necrosis binding calcium.
Choice C reason: Amylase levels are typically elevated in acute pancreatitis because the pancreas releases this enzyme during inflammation. Elevated amylase is a key diagnostic marker for pancreatitis.
Choice D reason: RBC count is not typically elevated in acute pancreatitis. Changes in RBC count are more indicative of other conditions like anemia or dehydration.

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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 B

Explanation

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Correct Answer is C

Explanation

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