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A nurse is teaching a newly licensed nurse about an ileal conduit.
The nurse should include which of the following information?

A.

A client has control of elimination through an ileal conduit.

B.

A client's ureters are attached to a section of the client's small intestine to form an ileal conduit.

C.

An ileal conduit is a tube that directly connects a client's kidney to an external pouch.

D.

Stool is passed through an ileal conduit located on a client's abdomen.

Answer and Explanation

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 C

Explanation

Choice A rationale

Replacing the external urinary catheter once each day is unnecessary. The catheter should be changed based on clinical judgment and manufacturer's guidelines to maintain hygiene.

Choice B rationale

Inserting the catheter into the client's urethra is incorrect for an external urinary catheter. External catheters are designed to be placed outside the body.

Choice C rationale

Applying a barrier cream to the client's perineal skin is correct. Barrier creams protect the skin from moisture and prevent skin breakdown and irritation caused by urine.

Choice D rationale

Connecting the catheter to continuous wall suction is not appropriate. External urinary catheters should be connected to a drainage bag for proper urine collection. .

Correct Answer is D

Explanation

Choice A rationale

Hypothermia is not commonly associated with diarrhea. Diarrhea typically leads to fluid loss and dehydration rather than changes in body temperature.

Choice B rationale

A rigid abdomen is not a typical finding for diarrhea. It may indicate other gastrointestinal issues, such as peritonitis, rather than dehydration caused by diarrhea.

Choice C rationale

Decreased bowel sounds are not typically expected with diarrhea, which often presents with increased bowel sounds due to increased motility.

Choice D rationale

Dehydration is a common finding in clients with diarrhea due to the excessive loss of fluids and electrolytes from frequent, loose stools. It can lead to symptoms such as dry mouth, reduced urine output, and dizziness.

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