Which urinary diversion procedure is the least damaging to the body image of the adolescent?
a. Urostomy
b. Ileal conduit
c. Nephrostomy
d. Suprapubic placement
ANS: B
The ileal conduit diverts urine to the colon, and the urine is excreted with the feces. There is no external appliance, as is needed with the other diversion methods.
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The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?
a. Ineffective sexuality pattern related to changed body structure b. Social isolation related to potential for accidental leakage of urine c. Knowledge deficit related to care and maintenance of ostomy appliance d. Disturbed body image related to presence of stoma and appliance
Which of the following dietary recommendations should a nurse give to a client to prevent cataracts?
A) Calcium with vitamin D C) Fat-free foods B) Foods rich in purine D) Vitamins A and C
An 87-year-old patient has suddenly become incontinent. What should the nurse's first action be?
a. Review the patient's record for medica-tions that may be causing urinary inconti-nence. b. Seek an order for an indwelling urinary catheter to prevent skin breakdown. c. Limit the patient's fluid intake to reduce the feeling of having to void so often. d. Teach the patient to void every 2 hours when awake during the day or night.
The client asks the nurse how to control hypertension without taking medications. Which teaching topics would be appropriate for the nurse to include?(Select all that apply.)
1. Increase exercise 2. Decrease sodium intake 3. Stop smoking 4. Increase weight if overweight 5. Increase intake of dietary fat