章节:The Client with Urinary Tract Health Problems

SC
正确指数:80% 正确的次数:4 错误的次数:1 6332---When teaching the client to care for an ileal conduit, the nurse instructs the client to empty the appliance frequently. Which outcome indicates that the client is following instructions?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. The skin around the stoma is red.
2. The urine is a deep yellow.
3. There is no odor present.
4. The seal around the stoma is intact.

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正确答案:
4. The seal around the stoma is intact.
解释 :
If the appliance becomes too full, it is likely to pull away from the skin completely or to leak urine onto the skin; thus, if the seal is intact, the client is emptying the appliance regularly. The skin around the seal should not be red or irritated, which could indicate a leak. There will likely be an odor from the urine. Deep yellow urine indicates that the client should be increasing fluid intake.