A nurse is teaching a newly licensed nurse about an ileal conduit.
The nurse should include which of the following information?
A client has control of elimination through an ileal conduit.
A client's ureters are attached to a section of the client's small intestine to form an ileal conduit.
An ileal conduit is a tube that directly connects a client's kidney to an external pouch.
Stool is passed through an ileal conduit located on a client's abdomen.
The Correct Answer is B
Choice A rationale
An ileal conduit does not provide the client with control over elimination. It is a type of urinary diversion, and the client wears an external pouch to collect urine.
Choice B rationale
In an ileal conduit, the client's ureters are attached to a section of the small intestine, which is then brought to the surface of the abdomen to form a stoma. Urine flows through this conduit into an external pouch.
Choice C rationale
An ileal conduit is not a tube that directly connects the kidney to an external pouch. It involves using a section of the small intestine to create a passageway for urine to exit the body.
Choice D rationale
Stool is not passed through an ileal conduit. The ileal conduit is specifically for urinary diversion, while stool passes through the regular gastrointestinal tract.
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Correct Answer is B
Explanation
Choice A rationale
White rice is a low-fiber food that is usually recommended to help manage diarrhea, as it can help firm up stools.
Choice B rationale
Caffeinated beverages can increase intestinal motility and secretions, leading to diarrhea. They can also be irritating to the gastrointestinal tract.
Choice C rationale
Low-fiber cereals are less likely to cause diarrhea and are often recommended for those with diarrhea because they are easy to digest.
Choice D rationale
Ripe bananas are low in fiber and high in potassium, which is beneficial for those with diarrhea as they help in firming up the stool.
Correct Answer is C
Explanation
Choice A rationale
Returning the opened medication to the medication cart is inappropriate because once a medication is opened and refused by a client, it must be disposed of properly. This action helps maintain safety and prevents contamination.
Choice B rationale
Reporting the incident to the provider is not necessary in this context as the refusal to take medication can be managed by the nurse by following the facility's protocol.
Choice C rationale
Filling out an incident report is required because the client's refusal to take the medication is considered a significant event. Incident reports are used to document and analyze such events to improve patient care and safety.
Choice D rationale
Notifying the facility's ethics committee is unnecessary for a medication refusal incident, as it does not involve an ethical dilemma requiring their intervention.