Common surgeries to divert urine may include cutaneous ureterostomy, ileal conduit, and ureteroileostomy. In developing a nursing care plan for any of these patients, the concept that is common to them all is that:
1. a ureterostomy is smaller and lighter in color than an intestinal stoma and urine drainage is expected to be expelled through the stoma continuously.
2. the drainage pouch is cleaned with sterile water and soap only, regardless of how foul the odor has become.
3. the patient should be encouraged to drink about 750 mL water daily.
4. the urine will leak through the pouch at night, so care must be taken to protect the bedclothes.
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To develop an effective plan of care, the nurse must be knowledgeable about surgical pro-cedures and expected outcomes.
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