The nurse is caring for a client who is scheduled for the creation of an ileal conduit. Which statement by the client provides evidence that client teaching was effective?
a) "I will not need to worry about being incontinent of urine."
b) "My urine will be eliminated with my feces."
c) "A catheter will drain urine directly from my kidney."
d) "My urine will be eliminated through a stoma."
Answer: d) "My urine will be eliminated through a stoma."
An ileal conduit is a non-continent urinary diversion whereby the ureters drain into an isolated section of ileum. A stoma is created at one end of the ileum, exiting through the abdominal wall.
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A nurse assesses the left plantar reflexes of an adult client and notes the response shown in the photograph below: Which action should the nurse take next?
a. Contact the provider with this abnormal finding. b. Assess bilateral legs for temperature and edema. c. Ask the client about pain in the lower leg and calf. d. Document the finding and continue the assessment.
A pregnant woman lifts weights regularly with a partner. What modification to this activity should the nurse suggest?
A. Adjust the weight bench so that it is tilted, not flat. B. Do fewer repetitions by using heavier weights. C. Do not hold your breath for more than 30 seconds. D. Use free weights instead of resistance bands.
A mother brings her 18-month-old son into the clinic for his diphtheria, tetanus, and pertussis vaccine. The child has a runny nose, a fever of 102.4ºF and is coughing. What should the nurse do?
A) Administer the vaccine but monitor the child afterward for an extended time period. B) Give an antipyretic and administer vaccine when temperature is within normal range. C) Administer a reduced dose of the vaccine today and a normal dose when child is healthy. D) Hold the immunization until the child is free of allergic or cold-like symptoms.
When should you take the patient to the business office?
A) when the patient is told they are going home B) during the discharge process C) on their third day of stay D) all of the above