39. After a cystectomy and construction of an ileal conduit, which complication should a nurse instruct a client to take special precautions to prevent?
39. After a cystectomy and construction of an ileal conduit, which complication should a nurse instruct a client to take special precautions to prevent?
Test-Taking Tip
Choose an option that can be controlled by the client directly—preventing infection (e.g., an "itis").
Content Area: Adult Health, Renal; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
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Answer 1 is incorrect because paralytic ileus is a surgical complication that the client cannot prevent. Answer 2 is incorrect because urinary calculi are not a surgical complication. A client can prevent calculi through dietary and fluid management. Answer 3 is correct because an ileal conduit is a urinary diversion that allows direct access of organisms to the kidneys. Proper management of the appliance, good skin care, proper hand hygiene, and adequate fluids will reduce the chance of developing an infection. Answer 4 is incorrect because mucus in the urine is normal since a segment of the GI tract was used to create the diversion.
