A client has returned from the recovery room after undergoing a ...

[jlmhmf]

A client has returned from the recovery room after undergoing a urinary diversion. The nurse should monitor the stoma for:
 
  1. blanching.
  2. erosion of skin around the stoma.
  3. decreased urine output.
  4. blood in the urine.

Question 2

A client with pneumonia develops kidney stones while hospitalized. While the client is being evaluated for lithotripsy what should the nurse identify as the priority for this client's care?
 
  1. Monitoring for edema
  2. Skin care
  3. Pain control
  4. Administration of medication to break up the stones

[nekcihc358]

Answer to Question 1

Answer: 1

1. Blanching of the stoma indicates a disruption in the blood supply.
2. The nurse would assess the skin around the stoma, but the question asks about the stoma.
3. Urine output is not relevant to the stoma.
4. Hematuria is not relevant to the stoma.

Answer to Question 2

Answer: 3

1. The client who is having an attack with kidneys is not experiencing edema.
2. Skin care is not a priority for the client with kidney stones.
3. The pain of kidney stones is very severe. The nurse should focus on pain relief.
4. There are no medications to break up kidney stones. Once the stones are removed, there are a few medications that can help prevent a recurrence.