A nurse is caring for a client with an ileal conduit for urinary diversion following bladder removal. What measure should the nurse employ when caring for this client?
A) Change the conduit appliance daily.
B) Use a synthetic barrier cream that contains karaya.
C) Use a solvent to loosen the appliance during removal.
D) Wet the skin before applying the new appliance.
C
Feedback:
The nurse should use a solvent to loosen the appliance during its removal in order to prevent tearing off of the appliance. The conduit appliance should be changed every 5 to 7 days. The nurse should use a synthetic barrier cream that contains little or no karaya because urine destroys karaya. The skin area should be gently and thoroughly dried before applying the new appliance to prevent contamination.
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