Question

A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. ___________ of the following statements should the nurse include in the teaching?

Answer 1

During Roberta's surgery, bacteria could have been introduced to her urinary tract through contamination of instruments or surgical site, improper sterile technique, or introduction of bacteria from the catheter or drainage bag.

Step-by-step explanation:

During Roberta's surgery, bacteria could have been introduced to her urinary tract through several possible ways:

• Contamination of the instruments or surgical site
• Improper sterile technique during the procedure
• Introduction of bacteria from the catheter or drainage bag

It is important for the nurse to include these potential sources of bacteria in the teaching to emphasize the importance of infection prevention and proper hygiene.

Answer 2

In teaching about ureterostomy after bladder cancer surgery, the nurse should include the importance of preventing infection through aseptic techniques, recognizing signs of infection, and proper postoperative care.

Step-by-step explanation:

In teaching a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy, it is essential to include information on the risk of infection after surgery. Bacteria may be introduced during surgery through several means, including but not limited to breaches in aseptic technique, contaminated surgical instruments, the presence of bacteria on the skin around the surgical site, or through the catheter. Proper sterile procedures and immediate postoperative care are critical to minimize this risk. The nurse's instruction should emphasize the importance of observing the stoma for signs of infection, maintaining cleanliness, and adhering strictly to the postoperative care regimen.

Prevention and Observation:

• Employ strict aseptic techniques during dressing changes.
• Monitor for signs of infection, such as redness, swelling, or unusual discharge around the stoma.
• Report any symptoms of a urinary tract infection or changes in urine appearance to healthcare providers immediately.