The nurse needs to pouch the client's incontinent urinary diversion. Which should the nurse implement?
1. Remove ureteral stents 2 days after surgery.
2. Drain urine in toilet and discard pouch in trash.
3. Pouch the stoma with client in Fowler's position.
4. Empty the pouch between and full of urine.
4
4. The nurse empties the urinary diversion pouch when it is to full of urine to prevent excessive tension on the skin and disruption of the seal.
1. The nurse guards ureteral stents in place because the surgeon places stents to pro-mote urinary drainage and postoperative healing.
2. The nurse drains urine from the pouch in the toilet but seals the pouch in plastic to contain odors before discarding it.
3. The nurse positions the client in semi-Fowler's position to pouch the incontinent urinary diversion for client comfort, to visualize the stoma, and for proper pouch placement and assessment.
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