Genitourinary || with Complete Solutions. 2024

A client with bladder cancer undergoes surgical removal of the bladder with construction of an ileal conduit. What assessments by the nurse indicate that the client is developing complications? Select all that apply. 1. Urine output greater than 30 ml/hour 2. Dusky appearance of the stoma 3. Stoma protrusion from the skin 4. Mucus shreds in the urine collection bag 5. Edema of the stoma during the first 24 hours after surgery 6. Sharp abdominal pain with rigidity correct answers 2, 3, 6. A dusky appearance of the stoma indicates decreased blood supply; a healthy stoma should appear beefy-red. Protrusion indicates prolapse of the stoma, and sharp abdominal pain with rigidity indicates peritonitis. A urine output greater than 30 ml/hour is a sign of adequate renal perfusion and is a normal finding. Because mucous membranes are used to create the conduit, mucus in the urine is expected. Stomal edema is a normal finding during the first 24 hours after surgery. A client with fever and urinary urgency is asked to provide a urine specimen for culture and sensitivity analysis. The nurse should instruct the client to collect the specimen from the: 1. first stream of urine from the bladder. 2. middle stream of urine from the bladder. 3. final stream of urine from the bladder. 4. full volume of urine from the bladder. correct answers 2. The midstream specimen is recommended because it's less likely to be contaminated with microorganisms from the external genitalia than other specimens. It isn't necessary to collect a full volume of urine for a urine culture and sensitivity. A client is diagnosed with cystitis. The nurse recommends the client drink cranberry juice. What assessment parameter should the nurse consider to determine if this recommendation has been effective? 1. Urine specific gravity 2. White blood cell (WBC) count 3. pH 4. Protein correct answers 3. Because cranberry juice is an acid-ash food that lowers the urine pH, monitoring urine pH would be most useful in evaluating the effectiveness of the intervention. Urine specific gravity, WBC count, and protein level won't pinpoint the effectiveness of acid-ash food. A client with dysuria is prescribed phenazopyridine (Pyridium). The nurse should teach the client to expect urine to be: 1. greater in volume. 2. orange in color. 3. pungent in odor. 4. concentrated in consistency. correct answers 2. Phenazopyridine causes the urine to have an orange color. Phenazopyridine doesn't cause higher urine volume, a pungent urine odor, or concentrated urine.