What does the nurse need to monitor closely for a patient with a Kock pouch?

Monitoring urine output is essential for a patient with a Kock pouch, which is a type of continent ileostomy. This internal pouch is created from a segment of the ileum, and it allows for the storage of urine. Close observation of urine output is crucial because it provides important information about renal function, hydration status, and potential complications such as obstruction or pouch leakage. Adequate urine output is indicative of proper kidney function and the effectiveness of urinary diversion, while decreased output can signal potential problems that require prompt intervention.

In the context of a Kock pouch, ensuring that urine output is sufficient helps healthcare providers assess whether the pouch is functioning correctly and whether the patient is maintaining appropriate hydration levels.