40. A nurse should teach a client with a Kock pouch urinary diversion to prevent urinary tract infection by:
40. A nurse should teach a client with a Kock pouch urinary diversion to prevent urinary tract infection by:
. Avoiding people with upper respiratory infections (URI).
. Maintaining a daily fluid intake of 2 liters.
. Using sterile technique to change the appliance.
. Irrigating the stoma daily.
Test-Taking Tip
Keep It Simple (K.I.S.) and look for the best approach to prevent a urinary tract infection for any client—adequate fluid intake.
Content Area: Adult Health, Renal; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
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Answer 1 is incorrect because the risk of infection with a Kock pouch would be related to renal deterioration from reflux or fecal contamination, not from others with URI. Answer 2 is correct because adequate fluids will maintain the urine output and optimal renal function. Answer 3 is incorrect because a Kock pouch is a continent urinary diversion, and urine is drained by inserting a catheter into the stoma. There is no appliance to change. Answer 4 is incorrect because irrigation is not done with urinary diversion. The Kock pouch collects urine, and a catheter is inserted into the stoma to remove the urine.