Can you explain your knowledge of different types of urinary diversions and their management?

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Sample interview questions: Can you explain your knowledge of different types of urinary diversions and their management?

Sample answer:

Continent Urinary Diversions:

  • Ileal Conduit (Urostomy): A segment of the ileum is isolated and used to create a urinary reservoir. Urine is diverted through the stoma onto a collection device.
  • Neobladder: A reservoir is created using a portion of the intestine, with ureters connected to the neobladder. Patients are able to void through the urethra.

Incontinent Urinary Diversions:

  • Ureterocutaneostomy: Ureters are brought directly to the skin surface, creating stomas from which urine drains.
  • Uretersigmoidostomy: Ureters are anastomosed to the sigmoid colon, allowing urine to flow into the rectum and be eliminated with stool.

Management of Urinary Diversions:

Stoma Care:
* Keep the stoma area clean and dry.
* Use appropriate pouching systems to collect urine.
* Monitor for infections or complications.

Electrolyte Balance:
* Monitor sodium, potassium, and chloride levels.
* Administer electrolytes as needed to prevent imbalances.

Urinary Tract Infections (UTIs):
* Monitor for s… Read full answer

Source: https://hireabo.com/job/2_0_25/Medical-Surgical%20Nurse

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