A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

"You will wear an external collection bag to drain your urine."

"You will have an internal pouch to store your urine."

"You will have a stoma that is located in your abdomen."

"You will not be able to control your urination."

Answer and Explanation

The Correct Answer is B

A. "You will wear an external collection bag to drain your urine." An external collection bag is required for an ileal conduit, not a neobladder, where urine is stored internally.

B. "You will have an internal pouch to store your urine." A neobladder is created using a portion of the intestine to form a new bladder, which stores urine internally. The client may be able to void through the urethra.

C. "You will have a stoma that is located in your abdomen." A stoma is associated with an ileal conduit or a urostomy, not with a neobladder. A neobladder does not require an external stoma.

D. "You will not be able to control your urination." Initially, the client may have difficulty controlling urination until they learn how to use the neobladder. Over time, they may regain some control.

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Correct Answer is D

Explanation

A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.

B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.

C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.

D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.

A. Apply friction when drying the client's skin. B. Use soap to clean the client's skin. C. Apply a barrier cream to the client's skin. D. Use hot water to clean the client's skin.

Correct Answer is C

Explanation

A. Apply friction when drying the client's skin. Friction can damage the skin, especially in clients with incontinence who are at risk for skin breakdown.

B. Use soap to clean the client's skin. Soap can be drying and irritating to the skin. pH-balanced cleansers are preferred to maintain skin integrity.

C. Apply a barrier cream to the client's skin. Barrier creams protect the skin from moisture, reducing the risk of skin breakdown and irritation from incontinence.

D. Use hot water to clean the client's skin. Hot water can dry out and damage the skin. Warm water should be used instead to gently clean the skin.

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A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

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