Author Question: A client is scheduled for surgery to remove the bladder and create a urinary diversion. If the ... (Read 26 times)

jon_i · **on:** Jun 25, 2018

A client is scheduled for surgery to remove the bladder and create a urinary diversion. If the client has a history of complications after surgery, the type of urinary diversion that might be indicated would be:

1. continent diversion with a surgical opening to the abdomen.
2. continent diversion with a replacement bladder made out of intestine.
3. noncontinent diversion with anastomose of the ureters to the anterior wall.
4. noncontinent diversion with anastomose of the ureters to the rectum.

Question 2

A client is diagnosed with failure of the left ventricle to provide adequate delivery of oxygen to the body tissues due to a weakened forward pumping function of the heart. The nurse realizes this client is experiencing:

1. anaphylactic reaction.
2. cardiogenic shock.
3. hypovolemia.
4. metabolic acidosis.

meow1234 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
Noncontinent urinary diversions are considered less technically demanding and are associated with the fewest postoperative complications. This type of diversion is performed by anastomosing the ureters to the anterior body wall. The rectum is not used as a site to anastomose the ureters. Continent diversions have more postoperative complications.

Answer to Question 2

2
In cardiogenic shock, there is an impaired forward pumping function with decreased stroke volume and decreased cardiac output. This dysfunction results in a backup of blood into the pulmonary system, and it can cause metabolic acidosis. Anaphylactic shock is a systemic reaction to an antigen. Hypovolemia is a loss of circulating blood. Metabolic acidosis is an acid-base imbalance that can occur from a variety of health conditions or disease processes.