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Of the following urinary diversions, which procedure is
always considered permanent?
Select one:
a. Pyelostomy.
b. Ileal conduit.
c. Vesicostomy.
d. Ureterostomy. - ANSWER--b. Ileal conduit.
,Following the surgical construction of the Indiana Pouch,
the nurse should expect:
Select one:
a. To begin teaching intermittent catheterization of the
pouch on Day 3 or 4.
b. The placement of ureteral stents in the renal pelvis that
exit through the skin.
c. The need for an external ostomy pouch for the first 3-4
weeks to contain urine while the nipple valve heals.
d. Irrigation of the percutaneous urinary drainage tube
every 3-4 hours to remove mucus and ensure free flow of
urine. - ANSWER--d. Irrigation of the percutaneous urinary
drainage tube every 3-4 hours to remove mucus and
ensure free flow of urine.
,A 60-year-old male is 6 weeks postop following a sigmoid
colostomy for rectal cancer. During a follow-up visit, he
states that he has read about colostomy irrigation and is
eager to start. What should your NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is
planned.
b. Set up an appointment to begin teaching the irrigation
technique as soon as possible.
c. Instruct the patient to ask again at his 6 months postop
visit.
, d. Ask him if he prefers using a cone tip or a catheter for
the procedure. - ANSWER--a. Ask the patient if
chemotherapy or radiation therapy is planned.
Mr. Rooke worked in a rubber plant for over 30 years. He
was found to have bladder cancer involving the muscle
layer and peri-vesical fat of his bladder. What type of
treatment will he MOST likely have for this invasive
carcinoma?
Select one:
a. Radical cystectomy and urinary diversion
b. Intravesical treatment
c. Radiation therapy