URINARY DIVERSIONS Flashcards
(26 cards)
What is a urinary diversion?
A surgical procedure that reroutes the normal flow of urine from the kidneys to an external pouch.
Name the three main types of urinary diversions.
Ileal conduit, continent urinary reservoir, and nephrostomy.
True or False: An ileal conduit is a type of incontinent urinary diversion.
True
What is the primary indication for urinary diversion?
Bladder cancer or severe bladder dysfunction.
Fill in the blank: A __________ urinary diversion allows the patient to control urination.
continent
What is the purpose of a nephrostomy?
To drain urine directly from the kidneys when the bladder is not functioning.
Which urinary diversion involves using a segment of the intestine?
Ileal conduit.
True or False: Patients with a continent urinary reservoir do not require an external bag.
True
What nursing intervention is critical after urinary diversion surgery?
Monitoring for signs of infection and ensuring proper stoma care.
What type of urinary diversion is created using the bladder?
Continent urinary reservoir.
Fill in the blank: Patients with an ileal conduit will need to wear a __________ for urine collection.
urostomy bag
What are common complications of urinary diversion?
Stenosis, infection, and skin irritation.
True or False: A stoma is the external opening created during urinary diversion surgery.
True
What is the role of the nurse in patient education regarding urinary diversions?
To teach the patient about stoma care, hygiene, and lifestyle adjustments.
Name one psychological impact of undergoing urinary diversion surgery.
Changes in body image or self-esteem.
What is a common assessment finding in a patient with a new stoma?
The stoma should be pink and moist.
Fill in the blank: Regular __________ of the stoma site is essential to prevent skin breakdown.
assessment
What dietary modifications might a patient with an ileal conduit need?
Avoiding foods that can cause gas or odor.
True or False: Patients with a nephrostomy only need to monitor the stoma site.
False
What is the purpose of a continent ileostomy?
To create a pouch that can be emptied through the abdominal wall.
What is the primary nursing intervention for managing urine output in patients with urinary diversions?
Regularly measuring and documenting urine output.
True or False: Urinary diversions can be temporary or permanent.
True
What is an important consideration for sexual health after urinary diversion?
Discussing potential changes in sexual function with the patient.
Name a common type of urinary diversion used for patients with neurogenic bladder.
Continent urinary reservoir.
