Question

A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?

a) Encouraging fluid intake
b) Avoiding oral medications
c) Promoting caffeine consumption
d) Limiting bathroom access

Answer 1

For a client postoperative following urinary diversion, the nurse should encourage fluid intake to promote healing and prevent infection. Interventions should avoid irritants like caffeine and should not limit bathroom access.

Step-by-step explanation:

A nurse caring for a client who is postoperative following a urinary diversion for bladder cancer should include encouraging fluid intake in the plan of care. This is because adequate fluid intake is crucial to ensure a good urinary output, which helps in the healing process and prevents infection. Drinking enough water to produce 2 to 2.5 liters of urine per day promotes the elimination of waste and helps maintain osmotic balance between waste matter and bodily fluids.

This intervention aligns with preventive strategies that emphasize a diet low in protein, nitrogen, and sodium intake to reduce excretory load on the kidneys. In contrast, promoting caffeine consumption is not advisable since caffeine can be an irritant to the urinary tract. Moreover, limiting bathroom access would not be appropriate as it may lead to urinary retention and increased risk of infection.