A client is scheduled for surgery to remove the bladder and create a urinary diversion. If the client has a history of complications after surgery, the type of urinary diversion that might be indicated would be:
1. continent diversion with a surgical opening to the abdomen.
2. continent diversion with a replacement bladder made out of intestine.
3. noncontinent diversion with anastomose of the ureters to the anterior wall.
4. noncontinent diversion with anastomose of the ureters to the rectum.
3
Noncontinent urinary diversions are considered less technically demanding and are associated with the fewest postoperative complications. This type of diversion is performed by anastomosing the ureters to the anterior body wall. The rectum is not used as a site to anastomose the ureters. Continent diversions have more postoperative complications.
You might also like to view...
A patient with COPD is prescribed tiotropium [Spiriva]. After the initial dose, the patient reports only mild relief within 30 minutes. What will the nurse tell the patient?
a. "You may have another dose in 4 hours." b. "You may need to take two inhalations instead of one." c. "You should have peak effects in about 6 hours." d. "You should see improved effects within the next week."
In which location of the chart would the nurse most likely chart hourly urinary output for a client?
a. Kardex c. flow sheet b. care path d. critical pathway
A client has been diagnosed with prostatic hyperplasia. Based on this information, what are common complaints that the client might communicate with the nurse?
1 . Difficulty in urination 2 . Retention of urine 3 . Inability to have an erection 4 . Shorter period between orgasm and ability to achieve another erection A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
The nurse is explaining to a primigravida how the zygote becomes implanted into the uterus. How would the nurse describe the structure formed in this process known as the blastocyst?
A) A ball of about 16 identical cells is formed when the zygote divides. B) The endometrium is enriched in nutrients in preparation for pregnancy. C) A group of cells is forming what will become the embryo. D) First one, then two layers of cells surround a fluid-filled space.