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NUR 290 final EXAM Questions and Answers (latest version verified for accuracy) | Latest!! (Verified Answers) Study Guide

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NUR 290 final EXAM Questions and Answers (latest version verified for accuracy) | Latest!! (Verified Answers) Study Guide

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NUR 290
Course
NUR 290

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6/28/26, 9:10 AM NUR 290 final EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified Answers) Study Gu…


NUR 290 final EXAM Questions and Answers
(latest version verified for accuracy) | 2026\2027
Latest!! (Verified Answers) Study Guide

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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




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Nursing care for ileal conduit Immediate postop period- urine volumes are
measured hourly.
risk for infection, risk for skin
breakdown, risk for Monitor for complications, report s/s of them
adhesions/obstruction, risk for promptly, intervene quickly to prevent progression
paralytic ileus
Urine output below 0.5mL/kg/hr may indicate
dehydration or obstruction, with possible backflow
or leakage from the ureteroileal anastomies.


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
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NUR 290 final EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified Answers) Study Gu…


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 ost


Acute pyelonephritis d/c teaching Focuses on prevention of further infection.


Consume adequate fluids


Empty bladder regularly and perform
recommended perineal hygiene


Take antimicrobial meds exactly as prescribed


Keep follow-up appointments




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