A client is being rehabilitated after surgery to create a Kock pouch. The nurse should include which information in the client's teaching plan?
a. Care of a suprapubic catheter
b. Self-catheterization technique
c. Technique for applying a permanent pouch
d. Technique for irrigating a ureteral catheter
B
Postoperative care for the client with a Kock or Indiana pouch is similar to that of any client with a urinary diversion, except there is no external drainage bag. The client performs catheterization using the same principles as for clean, intermittent urinary self-catheterization.
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A nurse observes shoulder drop postoperatively in a client who had a radical neck dissection for cancer 24 hours ago. What is the nurse's best action?
A. Reposition the client on the nonoperative side. B. Document the observation as the only action. C. Assess deep tendon reflexes. D. Notify the physician.
Diuretics are used in the treatment of all the following, except:
a. edema. c. obesity. b. ascites. d. hypertension.
The nurse should instruct a client, diagnosed with glaucoma, that the purpose of medication is to:
1. help dry up excess secretions. 2. lower the intraocular pressure. 3. strengthen the muscles of the eye. 4. improve the vision in the eye.
The nurse is assessing an 80-year-old client during a home visit following hospitalization for minor surgery. The nurse should explain to the client's family members that a risk factor for delirium is:
A) Excessive sleeping. B) Hypotension. C) Acute anxiety. D) Bone fractures.