A patient is postoperative day 3 following the creation of an ileal conduit for the treatment of invasive bladder cancer
The patient is quickly learning to self-manage the urinary diversion, but expresses concern about the presence of mucus in the urine. What is the nurse's most appropriate response?
A) Report this finding promptly to the primary care provider.
B) Obtain a sterile urine sample and send it for culture.
C) Obtain a urine sample and check it for pH.
D) Reassure the patient that this is an expected phenomenon.
Ans: D
Feedback:
Because mucous membrane is used in forming the conduit, the patient may excrete a large amount of mucus mixed with urine. This causes anxiety in many patients. To help relieve this anxiety, the nurse reassures the patient that this is a normal occurrence after an ileal conduit procedure. Urine testing for culture or pH is not required.
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