A nurse is preforming 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.)
Maintain the client on fluid restriction
Educate the client that hematuria is expected following the procedure
Notify the provider immediately if mucus is present in the urine
Apply skin barrier to the stoma site
Monitor hourly urine output
Correct Answer : B,D,E
A. Fluid restriction is generally not indicated; maintaining hydration is important to ensure adequate urine output.
B. Hematuria is expected postoperatively due to surgical manipulation and should be explained to the client.
C. Mucus in the urine is common with an ileal conduit since the conduit is created using a portion of the intestine, which naturally produces mucus.
D. Applying a skin barrier protects the skin around the stoma site from irritation and breakdown.
E. Monitoring hourly urine output helps assess kidney function and the patency of the conduit.
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Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Osteoarthritis causes joint pain due to the deterioration of cartilage in the joints.
B. Crepitus, a grating sound, can occur in affected joints due to bone rubbing on bone.
C. Osteoarthritis primarily affects weight-bearing joints such as the hips, knees, and spine.
D. Osteoarthritis often affects joints asymmetrically rather than in a bilateral symmetrical pattern, which is more characteristic of rheumatoid arthritis.
E. Joint stiffness, particularly after periods of inactivity, is a common symptom of osteoarthritis.
Correct Answer is D
Explanation
A. High-impact activities like jogging or running may worsen symptoms; low-impact exercise is preferred.
B. Increased calcium intake is not specifically recommended for fibromyalgia.
C. Avoiding all exercise during flare-ups is not advised, as gentle stretching or low-impact activities can often help alleviate pain.
D. A regular sleep pattern is essential, as quality sleep can improve symptoms and overall functioning in clients with fibromyalgia.
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