A nurse is preparing to obtain a 24-hr urine collection from a client.Which of the following actions should the nurse plan to take?

Choice A rationale

Neobladder urinary diversion involves creating an internal reservoir or pouch from a segment of the intestine to store urine. This new bladder is then connected to the urethra, enabling the client to void through the urethra. This method closely mimics natural urination, allowing the client to have some control over urination.

Choice B rationale

This is incorrect because a neobladder is designed to allow the client to control urination. While there might be a learning curve for the client to adapt to the new bladder, the ultimate goal is to achieve continence.

Choice C rationale

This describes an ileal conduit, another type of urinary diversion, where a stoma is created on the abdomen for urine to pass into an external bag. The neobladder does not involve a stoma for urination.

Choice D rationale

This is incorrect as it pertains to an ileal conduit or urostomy. Clients with a neobladder do not require an external collection bag since urine is stored internally in the constructed bladder and can be passed through the urethra. .

Choice C rationale

The large intestine absorbs water and electrolytes from the remaining indigestible food matter, forming and eliminating solid waste (stool). This absorption process is vital for maintaining the body's fluid and electrolyte balance.

Choice A rationale

The large intestine does not produce vitamin D; this occurs in the skin when exposed to sunlight. The large intestine’s primary functions are absorption and waste formation.

Choice B rationale

Preventing the reflux of food into the esophagus is the function of the lower esophageal sphincter, not the large intestine. The large intestine deals with waste processing rather than regulating esophageal function.

Choice D rationale

The secretion of digestive enzymes is a function of the pancreas, stomach, and small intestine. The large intestine does not secrete enzymes but focuses on absorbing water and electrolytes.