The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch

In gathering information for the client, which urinary diversion would the nurse select? A) Ileal conduit
B) Kock Pouch
C) Ureterosigmoidostomy
D) Indiana Pouch


A
Feedback:
When the physician is discussing a stoma, the nurse recognizes that the client will have an ileal conduit which is a cutaneous urinary diversion. Both the Kock Pouch and Indiana Pouch are continent urinary diversions. The ureterosigmoidostomy connects with the rectum for urinary drainage.

Nursing

You might also like to view...

Agnes informs you that she has been having respiratory problems and skin irritation since she started working on your unit. What question should you pose to Agnes in order to assess why she is experiencing these symptoms?

a. Are you allergic to latex gloves? b. Have you been very anxious lately? c. Have you been using alcohol swabs? d. Where did you work before coming here?

Nursing

A client receiving renal replacement therapy over 5 years has lost 40 lbs. and has significant muscle wasting. How should the nurse document this finding?

a. Fat catabolism b. Dry weight loss c. Metabolic acidosis d. Protein-energy wasting

Nursing

A patient scheduled for a cesarean birth asks if there are any difficulties with breastfeeding after this type of delivery. What should the nurse include when responding to this patient?

A) Breastfeeding is not recommended after a cesarean birth. B) It is hard to find a comfortable position to hold a newborn to breastfeed. C) A comfortable position can be found to support breastfeeding the infant. D) The patient will have too much analgesia postoperatively to make breastfeeding safe.

Nursing

When caring for a patient who is receiving immunotherapy, it is necessary to

A) avoid rubbing the patient's skin. B) check the patient's vital signs once daily. C) help the patient dress in loose-fitting clothing. D) monitor the patient's capillary refill.

Nursing