The nurse instructs the client who has an ileal conduit about self-care. Which does the nurse instruct the client to report to the provider?
1. The stoma size is slightly smaller.
2. The urine contains shreds of mucus.
3. Stoma urine draining continuously.
4. Urine is cloudy and has a foul odor.
4
4. The nurse instructs the client to report cloudy, foul-smelling urine to the provider because these findings are consistent with clinical indicators of a urinary tract infec-tion. This is especially worrisome in a client who has an ileal conduit because the client does not have a bladder; if the urine is infected, the infection is already very close to the kidney or originating in the kidney. The client can also complain of fever and flank pain with a kidney infection.
1, 2, and 3. The nurse instructs the client to expect the stoma to become slightly smaller as edema resolves, the urine to contain some mucus, and the stoma to drain urine continuously.
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