NUR 290 Final Exam Questions And
Correct Answers| 2026 Updated
UTI patient teaching
-avoid tub baths, spermicides, oil-bass lube, perfume to peritoneal area
-void after intercourse
-cotton underwear and no tight fitting stuff
-Teach patient to practice careful personal hygiene, front to back wiping
-Shower rather than bathe in a tub
-Clean the perineum and urethral meatus from front to back after each BM
-Increase fluid intake to promote voiding and dilution of urine (8-10 glasses)
-May be helpful to include 1 glass of cranberry juice
-Avoid coffee, tea, colas, and alcohol
-Urinate regularly and more frequently
-Void every 2-3 hours and completely empty the bladder
-Adhere to therapeutic regime
-Take medication exactly as prescribed
1000mg of ascorbic acid may be used to acidify the urine for recurrent infections
-Lactobacillus probiotics can be used to decrease recurrence
-Notify primary if fever occurs or if s/s persist
-Consult primary for follow-up
,Nursing care for ileal conduit
risk for infection, risk for skin breakdown, risk for adhesions/obstruction, risk for
paralytic ileus
Immediate postop period- urine volumes are measured hourly.
Monitor for complications, report s/s of them promptly, intervene quickly to
prevent progression
Urine output below 0.5mL/kg/hr may indicate dehydration or obstruction, with
possible backflow or leakage from the ureteroileal anastomosis.
If urethral stents aren't draining they can be flushed with 5-10mL sterile NS
carefully as not to dislodge the stent.
Hematuria may be noted within the first 48 hours post op but usually resolves
spontaneously.
When post op edema subsides, the nurse assists in selecting appropriate changes
for the ostomy appliance. The size of the stoma is measured every 3-6 weeks for
the first few months postop.
Permanent appliance should be no more than 1.6mm larger than the stoma, and
should be the same shape as the stoma.
WOC nurse provides specialized care.
,Healthy stoma is pink to red. Purple, brown, or black suggests the vascular supply
may be compromised. Surgical intervention may be necessary.
The skin around the stoma may become sensitive if urine or the appliance causes
irritation. The nurse should inspect for sings of irritation and bleeding of the
stoma, encrustation and skin irritation around the stoma (from alkaline urine), and
wound infection.
Moisture in bed linens or clothing or the odor of urine from the ptn should alert
the nurse to the possibility of a leaking appliance, potential infection, or problem
in hygienic mgmt.
To prevent severe alkaline encrustation, urine pH is kept below 6.5- administer
ascorbic acid by mouth, test pH by urine draining from stoma.
Properly fitted appliance is essential
Foul smelling urine- catheterize stoma to obtain specimen
Encourage fluids- ptn may excrete large amounts of mucus- assure them this is
normal and encourage fluid intake to flush the conduit.
Select ostomy appliance- may consist of one or two pieces, may be reusable or
disposable.
, Appliance is determined by location of stoma, ptns normal activity, manual
dexterity, visual function, body build, economic resources and preference.
Educate patient about self care- instruct ptn how to assess and manage urinary
diversion as well as how to deal w changes in body image.
Educate ptn how to change appliance- change at a time that in convenient before
the system leaks. A skin barrier is essential to protect the skin from irritation and
excoriation.
Avoid moisturizing soaps and body washes when cleaning the area bc they
interfere w adhesion of the pouch.
Avoid foods that give urine strong odors (cheese, eggs) Tell ptn to avoid putting
aspirin tabs into the pouch as they may ulcerate the stoma. Odor will develop in
the pouch if it is not changed properly.
Empty the pouch by means of a drain valve when it is 1/3 full bc the weight of
more urine will cause the pouch to separate from the skin.
The reusable appliance can be rinsed in warm water and soaked in a 3:1 solution
of water and white vinegar and air dried.
Follow up care is essential to assess how ptn is adjusting to altered body image
and lifestyle changes.
Assess for potential long term complications of ureteral obstruction, stenosis,
hernias or deterioration of kidney function.
Correct Answers| 2026 Updated
UTI patient teaching
-avoid tub baths, spermicides, oil-bass lube, perfume to peritoneal area
-void after intercourse
-cotton underwear and no tight fitting stuff
-Teach patient to practice careful personal hygiene, front to back wiping
-Shower rather than bathe in a tub
-Clean the perineum and urethral meatus from front to back after each BM
-Increase fluid intake to promote voiding and dilution of urine (8-10 glasses)
-May be helpful to include 1 glass of cranberry juice
-Avoid coffee, tea, colas, and alcohol
-Urinate regularly and more frequently
-Void every 2-3 hours and completely empty the bladder
-Adhere to therapeutic regime
-Take medication exactly as prescribed
1000mg of ascorbic acid may be used to acidify the urine for recurrent infections
-Lactobacillus probiotics can be used to decrease recurrence
-Notify primary if fever occurs or if s/s persist
-Consult primary for follow-up
,Nursing care for ileal conduit
risk for infection, risk for skin breakdown, risk for adhesions/obstruction, risk for
paralytic ileus
Immediate postop period- urine volumes are measured hourly.
Monitor for complications, report s/s of them promptly, intervene quickly to
prevent progression
Urine output below 0.5mL/kg/hr may indicate dehydration or obstruction, with
possible backflow or leakage from the ureteroileal anastomosis.
If urethral stents aren't draining they can be flushed with 5-10mL sterile NS
carefully as not to dislodge the stent.
Hematuria may be noted within the first 48 hours post op but usually resolves
spontaneously.
When post op edema subsides, the nurse assists in selecting appropriate changes
for the ostomy appliance. The size of the stoma is measured every 3-6 weeks for
the first few months postop.
Permanent appliance should be no more than 1.6mm larger than the stoma, and
should be the same shape as the stoma.
WOC nurse provides specialized care.
,Healthy stoma is pink to red. Purple, brown, or black suggests the vascular supply
may be compromised. Surgical intervention may be necessary.
The skin around the stoma may become sensitive if urine or the appliance causes
irritation. The nurse should inspect for sings of irritation and bleeding of the
stoma, encrustation and skin irritation around the stoma (from alkaline urine), and
wound infection.
Moisture in bed linens or clothing or the odor of urine from the ptn should alert
the nurse to the possibility of a leaking appliance, potential infection, or problem
in hygienic mgmt.
To prevent severe alkaline encrustation, urine pH is kept below 6.5- administer
ascorbic acid by mouth, test pH by urine draining from stoma.
Properly fitted appliance is essential
Foul smelling urine- catheterize stoma to obtain specimen
Encourage fluids- ptn may excrete large amounts of mucus- assure them this is
normal and encourage fluid intake to flush the conduit.
Select ostomy appliance- may consist of one or two pieces, may be reusable or
disposable.
, Appliance is determined by location of stoma, ptns normal activity, manual
dexterity, visual function, body build, economic resources and preference.
Educate patient about self care- instruct ptn how to assess and manage urinary
diversion as well as how to deal w changes in body image.
Educate ptn how to change appliance- change at a time that in convenient before
the system leaks. A skin barrier is essential to protect the skin from irritation and
excoriation.
Avoid moisturizing soaps and body washes when cleaning the area bc they
interfere w adhesion of the pouch.
Avoid foods that give urine strong odors (cheese, eggs) Tell ptn to avoid putting
aspirin tabs into the pouch as they may ulcerate the stoma. Odor will develop in
the pouch if it is not changed properly.
Empty the pouch by means of a drain valve when it is 1/3 full bc the weight of
more urine will cause the pouch to separate from the skin.
The reusable appliance can be rinsed in warm water and soaked in a 3:1 solution
of water and white vinegar and air dried.
Follow up care is essential to assess how ptn is adjusting to altered body image
and lifestyle changes.
Assess for potential long term complications of ureteral obstruction, stenosis,
hernias or deterioration of kidney function.
