The nurse is caring for an elderly client in a nursing home who ...

[Mimi]

The nurse is caring for an elderly client in a nursing home who has a urinary diversion in which the ureters are brought to the abdominal wall as a stoma. This is known as what type of diversion?
 
  A) Ileal conduit urinary diversion
  B) Cutaneous ureterostomy
  C) Continent cutaneous diversion
  D) Neobladder to urethra diversion

Question 2

A client admitted to a hospice facility for breast carcinoma is prescribed morphine for pain relief. What adverse effect should the nurse monitor for in a client receiving morphine?
 
  A) Decreased respirations
  B) Watery diarrhea
  C) Hyperactivity
  D) Hyperthermia

[marict]

Answer to Question 1

B
Feedback:
In cutaneous ureterostomy, the ureters are brought to the abdominal wall as a stoma. In the ileal conduit urinary diversion, a segment of ileum close to the ileocecal valve is resected and ureters reanastamosed to it. The proximal end of the ileal segment is closed and the distal end is brought to the abdominal wall as a stoma. In continent cutaneous diversion (Indiana pouch), a segment of cecum and ileum is resected from the bowel to build a reservoir, and the ureters are tunneled into the reservoir and the ileum brought to skin as a small stoma. In the neobladder to urethra diversion there is an internal urinary reservoir that empties through the urethra.

Answer to Question 2

A
Feedback:
The nurse should monitor for decreased respirations in a client receiving morphine. Sedation, rather than hyperactivity, will be seen in this client. Constipation, not diarrhea, is a side effect of morphine treatment. Hypothermia, not hyperthermia, should be monitored for in this client.

[Mimi]

Wow, this really help

[elyse44]

Excellent