Question

A client has undergone creation of an Indiana pouch for urine diversion after cystectomy, and the nurse provides instructions about reservoir catheterization. The nurse tells the client:

a) To insert the catheter straight into the stoma
b) To irrigate the pouch daily with normal saline
c) To secure the catheter to the leg with a catheter strap
d) To empty the pouch when it's about one-third full

Answer 1

The nurse tells the client to empty the pouch when it's about one-third full.

Therefore, correct option is d) To empty the pouch when it's about one-third full.

Step-by-step explanation:

For a client with an Indiana pouch following cystectomy, proper reservoir catheterization is crucial. The nurse instructs the client to empty the pouch when it's about one-third full (d). This guidance ensures optimal functioning of the pouch, preventing overfilling and potential leakage. Regular emptying helps maintain comfort and prevents complications associated with an excessively full pouch.

Securing the catheter to the leg with a catheter strap is not the recommended practice, as the Indiana pouch does not typically involve external catheter stabilization. The straight insertion of the catheter into the stoma is also not advised. Daily irrigation with normal saline may disrupt the natural balance within the pouch and is generally unnecessary unless specifically prescribed for therapeutic reasons.

Therefore, correct option is d) To empty the pouch when it's about one-third full.