Final answer:
The nurse should recognize that the patient needs additional education if there is any misunderstanding about the care for an ileal conduit. Proper education includes knowledge of how to manage the appliance, recognize signs of infection, and understand the appropriate level of activity post-surgery.
Step-by-step explanation:
The question is asking what statement a nurse should recognize as indicating the need for further education when reviewing home care instructions with a patient who has had an ileal conduit placement. An ileal conduit is a surgical procedure where the distal ileum is brought through the abdominal wall after the bladder has been removed or bypassed. This results in urine being expelled from the body into an external pouch or bag. The nurse should ensure the patient understands how to care for the stoma, change the bag, and recognize signs of infection or complications. It is crucial for a patient with an ileal conduit to be well-informed about home care to prevent infections and manage the appliance correctly.
An example of a statement that would indicate the need for additional education could be the patient believing he or she can resume heavy lifting or rigorous activities immediately after surgery. The patient should be advised to gradually reintroduce activities and be mindful of any heavy exertion that may affect the surgical site.
Clinical Focus
In the case of Roberta, who recently had a cholecystectomy, the development of abdominal pain, a fever, and symptoms of a urinary tract infection could be signs of a postoperative complication such as a bile leak or infection. These symptoms should be addressed promptly by her healthcare provider.
The interdisciplinary approach mentioned, where the surgeon, nurse, and anesthesiologist collectively review key concerns for recovery and care, is crucial to ensure a comprehensive care plan is in place.