After surgery for an ileal conduit, the nurse should closely evaluate the client for the occurrence of which of the following complications related to pelvic surgery? A. Peritonitis B. Thrombophlebitis C. Ascites D. Inguinal hernia Correct Answer: B. Thrombophlebitis After pelvic surgery, there is an increased chance… Read More »
A client newly diagnosed with renal failure is receiving peritoneal dialysis. During the infusion of the dialysate the client complains of abdominal pain. Which action by the nurse is most appropriate? A. Slow the infusion. B. Decrease the amount to be infused. C. Explain that the pain will subside after the first… Read More »
After the first hemodialysis treatment, your patient develops a headache, hypertension, restlessness, mental confusion, nausea, and vomiting. Which condition is indicated? A. Disequilibrium syndrome B. Respiratory distress C. Hypervolemia D. Peritonitis Correct Answer: A. Disequilibrium syndrome Disequilibrium occurs when excess solutes are cleared from the blood more… Read More »
The nurse is assessing the urine of a client who has had an ileal conduit and notes that the urine is yellow with a moderate amount of mucus. Based on the assessment data, which of the following nursing interventions would be most appropriate at this time? A. Change the appliance bag. B. Notify… Read More »
The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the client that it is important to maintain the dwell time for the dialysis at the prescribed time because of the risk of: A. Infection B. Hyperglycemia C. Fluid overload D. Disequilibrium syndrome … Read More »
Which action is most important during bladder training in a patient with a neurogenic bladder? A. Encourage the use of an indwelling urinary catheter. B. Set up specific times to empty the bladder. C. Encourage Kegel exercises. D. Force fluids. Correct Answer: B. Set up specific times… Read More »
When teaching the client to care for an ileal conduit, the nurse instructs the client to empty the appliance frequently, primarily to prevent which of the following problems? A. Rupture of the ileal conduit. B. Interruption of urine production. C. Development of odor. D. Separation of the appliance from the skin.… Read More »
The client with acute renal failure has a serum potassium level of 5.8 mEq/L. The nurse would plan which of the following as a priority action? A. Allow an extra 500 ml of fluid intake to dilute the electrolyte concentration. B. Encourage increased vegetables in the diet. C. Place the client on… Read More »
A patient with diabetes has had many renal calculi over the past 20 years and now has chronic renal failure. Which substance must be reduced in this patient’s diet? A. Carbohydrates B. Fats C. Protein D. Vitamin C Correct Answer: C. Protein Because of damage to the… Read More »
The client with an ileal conduit will be using a reusable appliance at home. The nurse should teach the client to clean the appliance routinely with what product? A. Baking soda B. Soap C. Hydrogen peroxide D. Alcohol Correct Answer: B. Soap A reusable appliance should be… Read More »