You have a patient with an ileal conduit who complains that the pouch leaks daily at the 9 o’clock location. With the patient in the supine position, you examine the patient’s abdomen and find the following: stoma is 1 ¼ inches round,  protrudes 1.5 cm, abdomen is flat and soft with no creases or scars present. The patient wears a flat one-piece 1 ¼” pre-cut urinary pouch with an integrated skin barrier. What should you do next?

A 2-month-old infant has been diagnosed with Hirschsprung’s disease and has a loop transverse colostomy. As a part of the teaching, the parents should be aware that:

Which of the following pouching system adaptations is MOST appropriate for the patient with a stomal prolapse?

Trevor is a 9-month-old baby with Hirschsprung’s disease and a loop transverse colostomy. You explain to his parents that the stool will be expelled from the functioning limb which is also known as the:

Hirschsprung’s disease is definitively (gold standard) diagnosed by:

Which statement about Crohn’s disease is TRUE?

Six months postoperatively, you can expect the patient with which of the following urinary diversions to be using bedside drainage at night?

The patient who is NPO for several days is at risk for atrophy of which of the following structures in the mucosal surface of the small bowel?

When the necrotic stoma loosens and sloughs, the patient should be monitored for which of the following complications?

Mr. Andrews has bladder cancer and is scheduled for a cystectomy. In which of the following situations could an Indiana pouch be safely performed for this patient?