A patient post-radical cystectomy with ileal conduit urinary diversion is being taught urostomy self-care. Which teaching points are appropriate? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Ileal conduit teaching: healthy stoma beefy red (notify for dusky/pale/dark color), mucus in urine is normal (intestine origin), empty pouch at 1/3 to 1/2, change every 3-7 days, and encourage 2000-3000 mL fluids daily for conduit flushing. Choice 1 is wrong — fluid restriction increases urine concentration, mucus thickening, stone formation, and infection risk; the opposite is recommended.
Two ileal conduit traps: (1) "mucus in urine = infection" — wrong, mucus is normal because the conduit is intestine; (2) "restrict fluids to reduce output" — wrong, encourage 2-3 L/day to flush. Stoma color changes (dusky, pale, dark purple, black) require STAT provider notification because they suggest stoma necrosis from compromised perfusion.
Patient post-radical cystectomy with ileal conduit urinary diversion for bladder cancer; ready for urostomy self-care teaching. Stoma is beefy red, slightly edematous, and continuously draining clear urine with mucus.
Ileal conduit — Urinary diversion using a section of ileum to channel urine to a stoma after cystectomy; mucus in urine is normal.