The answer is A.I 'll have to wear an external collection pouch for the rest of my life.
After a total cystectomy, the original urinary bladder that the patient has is replaced by a Kock pouch. The Kock pouch is meant to act as the new urinary bladder for the patient and is capable of storing urine coming from the kidneys and excreting them through the urethra. The external collection pouch is just a temporary maneuver and will be removed after the Kock pouch has started working properly. Hence if a client makes that statement, he needs further teaching.
Further teaching is needed for the patient based on the statement, 'I'll have to wear an external collection pouch the rest of my life.' This is because an internal pouch like the Kock pouch allows for self-catheterization. It has an internal reservoir which means the need for an external collection bag is eliminated. The consumption of a balanced diet and foods from all groups is necessary to give the body the fuel it needs to heal properly.
Drinking at least eight glasses of water per day is ideal for anyone but is especially important for this patient due to the fact water helps prevent UTIs. Furthermore, catheterizing the pouch every two hours may be true in the beginning, however the patient should be able to move this process to two to four times per day without problem.
I\ ll have to wear an external collection pouch for the rest of my life.-rationale: the client requires additional teaching if he states that hell have to wear an external collection pouch for the rest of his life. an internal collection pouch, such as the kock pouch, allows the client to perform self-catheterization for ileal drainage. this pouch is an internal reservoir, eliminating the need for an external collection pouch. a well-balanced diet is essential for healing; the client need not include or exclude particular foods. the client should drink at least eight glasses of fluid daily to prevent calculi formation and urinary tract infection. intervals between pouch drainings should be increased gradually until the pouch is emptied two to four times daily.