The nurse should incorporate which instructions into the teaching plan

The nurse should incorporate which instructions into the teaching plan for a client with a urinary diversion?

1. Change the appliance several times a day.
2. Increase fluid intake.
3. Notify the physician if the stoma is deep pink and shiny.
4. Strands of blood may appear in the urine.

ANSWER

Correct Answer: 2
Rationale 1: The appliance should be changed as necessary. Changing the appliance too frequently can cause skin breakdown.
Rationale 2: Increasing the fluid intake helps to flush out sediment and mucus and prevents clogging of the stoma.
Rationale 3: A deep pink, shiny stoma is normal, and there’s no need to notify the physician.
Rationale 4: Strands of mucus, not blood, may appear in urine because of the mucus-producing cells of the ileum.