A patient has a new incontinent urostomy because of bladder cancer. The patient asks how he will manage "all of this urine" at night. Which response by the nurse is best?
a. "You'll get up and empty the bag when-ever you wake up at night.".
b. "We give you a larger pouch to wear at night to hold the extra urine.".
c. "We'll attach a large bedside drainage bag to the outlet of the pouch.".
d. "It's really nothing to worry about until you start eating regular meals.".
C
A bedside drainage bag is attached to the pouch outlet, which is opened during the night to allow the urine to drain. It is closed and disconnected if the patient will be up. With this attachment, the patient won't have to empty the smaller bag overnight. A larger pouch would become heavy and could pull away from the body at night. Urine will begin to flow immediately; thus, telling the patient not to worry is inaccurate and ignores the question.
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