A nurse is teaching a client about foods and beverages that can cause diarrhea.Which of the following should the nurse include in the teaching?

Choice B rationale

Warming the enema solution to room temperature helps ensure the client's comfort and can prevent cramping and discomfort. Cold solutions can cause discomfort and cramping, making the procedure less tolerable for the client.

Choice A rationale

Placing the client into a right lateral position is not the standard position for administering an enema. The left lateral (Sims') position is commonly used as it facilitates the flow of the solution into the colon.

Choice C rationale

Sterile technique is not required for administering an enema. Clean technique is generally sufficient unless otherwise indicated by the client’s condition or specific medical orders.

Choice D rationale

Lubricating the tubing is essential to ensure smooth insertion and prevent trauma to the rectal mucosa, but an oil-based lubricant is not typically used as it can interfere with the absorption of the enema solution. Water-soluble lubricants are preferred.

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. .