An appropriate procedure for the nurse to use when pouching a noncontinent urinary diversion is to:
A. Empty the pouch when it is one-third to one-half full
B. Remove the ureteral stents after 2 days
C. Pouch the stoma with the client sitting up
D. Dispose of the used pouches in the toilet
A
A. Pouches should be emptied when one-third to one-half full because weight of urine in pouch may weaken or dislodge skin seal.
B. Immediately after surgery, ureteral stents are in place and remain for up to 10 to 14 days. The physician then removes the stents.
C. Position client standing or supine and drape. Some clients may prefer to do pouch change while sitting because this may make it easier for them to see stoma. However, when skin barrier and pouch are applied in sitting position, skin may have folds and wrinkles.
D. Properly dispose of used pouch and soiled equipment according to facility policy.
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Fill in the blank(s) with the appropriate word(s).
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