An ileal conduit is performed on the client who has a cystectomy. The nurse should expect to see which type of drainage from the stoma?
a. Formed feces at periodic intervals
b. Continuous urine
c. Intermittent urinary drainage
d. Continuous liquid fecal material
ANS: B
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A resident in the nursing home is diagnosed with under nutrition and is unable to take in adequate food despite efforts by the multidisciplinary team and family members
Prior to insertion of a permanent feeding tube, what are the most important issues to be considered? A) the extent of the surgical intervention, cost and insurance coverage B) the client's advanced directive and evaluation of risks, benefits, and ethical considerations C) the client's nutritional needs and tolerance of the formula feedings D) equipment, care, and time needed to administer the feedings
A client tells the nurse that she often does not defecate when she has the urge because of time. The nurse realizes that failure to heed the urge to defecate can result in:
a. diarrhea. b. irritable bowel syndrome. c. constipation. d. water-loss stools.
A nurse might be called on to stimulate the fetal scalp:
a. As part of fetal scalp blood sampling. b. In response to tocolysis. c. In preparation for fetal oxygen saturation monitoring. d. To elicit an acceleration in the fetal heart rate (FHR).
A woman who had two previous cesarean births is in active labor, when she suddenly complains of pain between her scapulae. The nurse's priority action is to
a. Reposition the woman with her hips slightly elevated. b. Observe for abnormally high uterine resting tone. c. Decrease the rate of nonadditive intravenous fluid. d. Notify the physician promptly and prepare the woman for surgery.