A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply).

Educate the client that hematuria is expected following the procedure.

Notify the provider immediately if mucus is present in the urine.

Monitor hourly urine output.

Apply skin barrier around the stoma site.

Maintain the client on a fluid restriction.

Answer and Explanation

Correct Answer : A,C,D

A. Hematuria is commonly expected following an ileal conduit procedure due to the surgical intervention in the urinary tract.
B. Mucus in the urine is a normal finding after an ileal conduit procedure because the ileum secretes mucus naturally; it does not require immediate notification of the provider unless there are other concerning symptoms.
C. Monitoring hourly urine output is crucial to ensure the patency of the urinary system and to detect any early signs of complications such as obstruction or leakage.
D. Applying a skin barrier around the stoma site is essential to protect the skin from the corrosive effects of urine and to prevent skin breakdown.
E. Fluid restriction is not typically required unless specifically indicated by the provider for other medical reasons; maintaining adequate hydration is important for the client's recovery and to ensure proper urine production.

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Correct Answer is B

Explanation

A. Bright red urine would indicate active bleeding and is not an expected finding after catheter removal.
B. Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
C. Bright yellow urine is typical of normal, well-hydrated urine and is not expected immediately postoperatively.
D. Dark amber urine could indicate dehydration and is not typical following this procedure.

A. Tachypnea B. Bilateral weakness of extremities C. Decreased level of consciousness D. Hypotension

Correct Answer is C

Explanation

A. Tachypnea is not a primary sign of increased intracranial pressure but might be seen in other conditions.

B. Bilateral weakness of extremities can indicate severe brain injury but is not the most specific sign of increased intracranial pressure.

C. Decreased level of consciousness is a direct sign of increased intracranial pressure affecting brain function.

D. Hypotension is not a typical manifestation of increased intracranial pressure; increased ICP more commonly leads to hypertension.

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A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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