A nursing student who is working with you asks you to explain the difference between an
ileal conduit and an ileostomy. How do you answer?
What will be an ideal response?
An ileostomy is created when the physician cuts the ileum away from the cecum and brings the ileum
to the surface of the abdomen. The large intestine is no longer available to dehydrate the stool; that
means the ileum drains liquid or semiformed stool through the abdominal wall into an external
pouch. An ileal conduit is formed when 6 to 8 inches of the ileum is removed from the bowel and
brought to the abdominal wall, where an opening is made. The ureters coming from the kidneys are
attached to the piece of ileum so that it drains urine through a piece of intestinal conduit through a
surgically created abdominal opening, called a stoma, which is Latin for "mouth" or "opening."
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A pregnant woman has been admitted to the ICU with disseminated intravascular coagulation (DIC). She exhibits tachycardia, tachypnea, temperature instability, increased cardiac output, and decreased peripheral resistance
What is the most likely underlying cause of DIC in this situation and what is the best intervention? A) Preeclampsia; antihypertensive agents B) Sepsis; broad-spectrum antibiotics C) Amniotic fluid embolism; intubation and ventilation with 100% oxygen D) Abruptio placentae; prompt delivery of the fetus
The family of a patient in the ICU diagnosed with acute pancreatitis asks the nurse why the patient has been moved to an air bed. What would be the nurse's best response?
A) "Air beds allow the care team to reposition her more easily while she's on bed rest." B) "Air beds are far more comfortable than regular beds and she'll likely have to be on bed rest a long time." C) "The bed automatically moves, so she's less likely to develop pressure sores while she's in bed." D) "The bed automatically moves, so she is likely to have less pain."
A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first?
a. Give the patient the prescribed PRN opioid. b. Assess for sensation and strength in the legs. c. Notify the health care provider about the symptoms. d. Teach the patient how to use relaxation to reduce pain.
The family member of a client with paranoid schizophrenia asks the nurse about risperidone (Risperdal) and wants to know what symptoms should decrease as a result of this medication
Which symptoms should the nurse say will decrease as a result of Risperdal? A) Dreams of early childhood experiences. B) Dyslexia and difficulty reading. C) Feelings of urinary frequency. D) Delusions that the client is being followed by the FBI.