Nokea
A client has undergone a cystectomy and an ileal conduit diversion. What should the nurse incorporate into the discharge instructions? Select all that apply.
- A. A limit of least 3,000 mL of fluid each day.
- B. Minimize daily activities.
- C. Keep urine alkaline to prevent urinary tract infections.
- D. Avoid odor-producing foods, such as onions, fish, eggs, and cheese.
- E. Wear snug clothing over the stoma to encourage urine flow into the drainage bag.
Correct Answer: A,D
Rationale: An adequate fluid intake aids in the prevention of urinary calculi and infection. Odor-producing foods should be avoided as they can affect the client's lifestyle and relationships. Minimizing activities can lead to urinary stasis, promoting infection. Alkaline urine may increase infection risk, and snug clothing is not recommended as it may irritate the stoma.
You may also like to solve these questions
The nurse teaches the client with an ileal conduit measures to prevent a urinary loss. Which of the following measures would be most effective?
- A. Avoid people with respiratory tract infections.
- B. Maintain a daily fluid intake of 2,000 to 3,000 mL.
- C. Use sterile technique to change the appliance.
- D. Irrigate the stoma daily.
Correct Answer: B
Rationale: Maintaining high fluid intake (2,000-3,000 mL) prevents urinary stasis and infection, the most effective measure for reducing urinary loss risk.
Before surgery for a known aortic aneurysm, the client's pulse pressure begins to widen, suggesting increased aortic valvular insufficiency. If the branches of the aortic arch are involved, the nurse should assess the client for:
- A. Low blood pressure
- B. Anxiety
- C. Headache
- D. Disorientation
Correct Answer: D
Rationale: Widening pulse pressure and aortic arch involvement in an aortic aneurysm suggest possible dissection affecting cerebral perfusion (e.g., carotid artery involvement), leading to disorientation or neurologic changes. Low blood pressure, anxiety, and headache are less specific or unrelated.
The nurse is transfusing one unit of packed red blood cells (PRBCs) to a client. The nurse initiated the transfusion at 1400. After completing the 1545 vital signs, the nurse should take which action? See the image below.
- A. Stop the transfusion
- B. Verify the blood product with another nurse
- C. Apply nasal cannula oxygen
- D. Document the findings and continue the transfusion
Correct Answer: D
Rationale: Without specific abnormal vital signs provided in the image, the nurse should document the findings and continue the transfusion if vital signs are stable, as this is standard practice after monitoring. Stopping the transfusion, verifying the product again, or applying oxygen require specific indications of a transfusion reaction or instability.
Experimental and epidemiologic evidence suggests that a high-fat diet increases the risk of several cancers. Which of the following cancers is linked to a high-fat diet?
- A. Ovarian.
- B. Lung.
- C. Colon.
- D. Liver.
Correct Answer: C
Rationale: A high-fat diet is strongly associated with an increased risk of colon cancer, as it can promote inflammation and alter gut microbiota, contributing to carcinogenesis.
When a client cannot read or write but is of sound mind, the nurse should read the consent to the client in the presence of two witnesses and:
- A. Have the client's next-of-kin sign the consent.
- B. Have the client put an 'X' on the signature line.
- C. Have a court appoint a guardian for the client.
- D. Have a hospital quality management coordinator sign for the client.
Correct Answer: B
Rationale: For a client of sound mind who cannot read/write, reading the consent and having the client mark an 'X' with two witnesses ensures legal informed consent without requiring a guardian.