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    Ati Lpn Med Surg Exam (Cancer) Proctored Exam

    Which assessment by a nurse caring for an immediate postoperative patient with an ileal conduit should be reported or receive attention immediately?

    Explanation & Rationale

    Rationale: A. Mucus in the urine is expected in patients with an ileal conduit because the urinary diversion uses a segment of the ileum, which naturally secretes mucus. This is not an immediate concern. B. Abdominal distention in an immediate postoperative patient may indicate bowel obstruction, ileus, or internal bleeding. These conditions can become life-threatening if not addressed promptly, so the nurse should report and intervene immediately. C. A small amount of blood in the urine or drainage is expected in the early postoperative period due to surgical manipulation of the ureters and ileum. It is monitored but not an emergency. D. Absent bowel sounds are common immediately after abdominal surgery due to temporary postoperative ileus. While it should be monitored, it is not immediately life-threatening unless accompanied by severe pain, distention, or vomiting.

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