1 the patient will not experience flank pain 2 the

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1 The patient will not experience flank pain. 2 The patient will not experience bladder spasms. 3 The patient will not experience urine loss after voiding. 4 The patient will not experience overdistention of the kidney pelvis. 66. 2 With the removal of part of the bowel, there is an increased incidence of small bowel obstruction and paralytic ileus. Therefore, a nasogastric tube is inserted for few days. The urine should be acidic to prevent alkaline encrustations. Stoma shreds into the drainage bag and mucus in the urine are common in first few days after the surgery. Text Reference - p. 1097 Which nursing intervention should the nurse include in immediate postoperative management of urinary diversion? 1 Keeping the urine alkaline 2 Inserting a nasogastric tube 3 Notifying the charge nurse of stoma shreds in the drainage bag 4 Encouraging the patient to notify the primary health care provider in case of mucus in urine
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67. 2, 3, 4 Urethritis, urethral stricture, and creation of false passages are complications associated with intermittent catheterization. Infection and secondary stone formation are complications that may occur due to a nephrostomy tube. Text Reference - p. 1094 What are the complications of intermittent bladder catheterization? Select all that apply. 1 Infection 2 Urethritis 3 Urethral stricture 4 Creation of false passage 5 Secondary stone formation 68. 1 A patient with benign prostatic hypertrophy may have urinary retention due to lower urinary tract obstruction. Urinary stasis may increase the risk of infections in the patients. Therefore, urinary catheterization should be performed in these patients to decrease urinary retention. Because the patient does not have an infection, bladder irrigation does not need to be performed. Therefore, this could not be the reason for urinary catheterization in this patient. Urinary catheterization for collecting a sterile urine sample would not be appropriate in this patient. Facilitating medication instillation is not necessary in this patient. Text Reference - p. 1092 A patient is diagnosed with urinary retention related to benign prostatic hypertrophy. What is the purpose of urinary catheterization in this patient? 1 Decreasing urinary stasis 2 Facilitating bladder irrigation 3 Collecting a sterile urine sample 4 Facilitating medication instillation
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69. 1, 3, 5 Practicing timed voiding, ideally every two to three hours during waking hours, can help in emptying the bladder, thereby reducing the chances of incontinence. Pelvic floor muscle training is important to strengthen the pelvic floor muscles that control the relaxation of the urinary sphincters, and improved muscle control can reduce the complaints of incontinence. Incontinence protective pads are urine-containing assistive devices that can help in cases of mild to moderate urine incontinence. Coffee is a bladder irritant and will increase the urge to urinate, thus increasing the likelihood of incontinence. Intermittent catheterization is advised in cases of urinary retention, not in urinary incontinence.
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  • Summer '18
  • NONE
  • urinary tract infection

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