A patient with bladder cancer undergoes a total cystectomy and ileal conduit. Postoperatively, the nurse notes mucus in the patient's urine. Which nursing intervention is most appropriate?
A) Informing the physician that the patient has a urinary tract infection
B) Obtaining a urine specimen for culture and sensitivity
C) Monitoring for other signs and symptoms of infection
D) Explaining to the patient that this is normal after this type of surgery
Ans: D
Feedback: In an ileal conduit, the ureters are attached to a portion of the ileum that has been removed from the intestine and brought out through the abdominal wall, creating a stoma. The resected portion of the ileum is irritated by urine and secretes mucus. Because mucus secretion isn't a sign of infection, the physician doesn't need to be notified nor does urine need to be collected for culture and sensitivity, but the patient should be observed for other signs and symptoms of infection postoperatively.
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