Author Question: A patient with bladder cancer is scheduled for surgery to create a continent urinary reservoir. What ... (Read 66 times)

mpobi80 · **on:** Jun 25, 2018

A patient with bladder cancer is scheduled for surgery to create a continent urinary reservoir. What should the nurse include when teaching the patient about this procedure?

Select all that apply.

1. Electrolytes may need to be monitored.
2. The ureters are brought to the surface.
3. Part of the bowel is used for the pouch.
4. The patient will learn how to perform self-catheterization.
5. A urinary collection device is not necessary.

Question 2

A patient is discharged after photocoagulation for a bladder papilloma. Instructions for this patient should include making an appointment for follow-up:

1. in 3 months.
2. in 1 year.
3. in 3 years.
4. if symptoms return in the year following surgery.

aprice35067 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 4, 5
The continent urinary reservoir may absorb urea and electrolytes, resulting in imbalances. Electrolytes may need to be monitored. A significant portion of the bowel is required to form the pouch and stoma. The patient must be able and motivated to manage self-catheterization. A drainage collection device is not necessary. In a cutaneous ureterostomy, the ureters are brought to the skin surface.

Answer to Question 2

Correct Answer: 1
Following cystoscopic tumor resection, patients are followed at 3-month intervals for tumor recurrence. Follow-up needs to be timely, and 1 or 3 years would be too long. The patient would be encouraged to make a follow-up appointment at any time if the symptoms recur.