A patient has been admitted to the unit you are working on for a scheduled cutaneous ureterostomy. Another staff nurse comes to you asking why this patient is having this particular procedure. How should you respond?
A) "Patients who get cutaneous ureterostomies are patients who can't manage an ileal conduit."
B) "Patients who get cutaneous ureterostomies are patients who have obstructed ureters due to large kidney stones."
C) "Patients who get cutaneous ureterostomies are patients who have obstructed ureters due to advanced pelvic cancer."
D) "Patients who get cutaneous ureterostomies are patients who don't have strong support networks."
Ans: C
Feedback: A cutaneous ureterostomy, in which the ureters are directed through the abdominal wall and attached to an opening in the skin, is used for selected patients with ureteral obstruction (ie, advanced pelvic cancer) because it requires less extensive surgery than other urinary diversion procedures. Options A, B, and D are incorrect because they give the other staff nurse incorrect information.
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