The nurse is planning a teaching program in anticipation of the discharge of a client with a urinary diversion. Which of the following points will the nurse incorporate into the plan?
1. Change the appliance every day.
2. Increase fluid intake.
3. Notify the physician if the stoma is deep pink and shiny.
4. Strands of blood may appear in the urine.
2. Increase fluid intake.
Rationale:
Increasing the fluid intake helps to flush out sediment and mucus and prevents clogging of the stoma. The appliance should be changed every 5 to 7 days. Every day changing is unnecessary. A deep pink, shiny stoma is normal and does not require the notification of the physician. Strands of mucus, not blood, may appear in urine because of the mucus-producing cells of the ileum.
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