A nurse is obtaining health history from a young adult patient who has a
colostomy. The patient reports frequent episodes of loose stools over the
last month, but has no sings of infection or bowel obstruction. He reports
that his concerns about leakage have limited his social activities. Which
of the following should the nurse recommend? - ANSWER- Consume
foods that are low in fiber content.
-Foods low in fiber help thicken the stool; examples include rice,
noodles, white bread, cream cheese, lean meats, fish, and poultry.
, A nurse is providing preoperative teaching for a patient who has colon
cancer. The surgeon informed the patient that his entire large intestine
and rectum will be removed. The nurse should explain the type of
ostomy he will have is: - ANSWER- An ileostomy
-After removing the entire large intestine and rectum, the surgeon will
create an ileostomy to divert feces from the small intestine to the
abdominal surface and into an ostomy pouch.
A nurse is providing preoperative teaching for an older adult patient who
has diverticulitis and is scheduled for a creation of a double-barrel
colostomy in the sigmoid colon. Which of the following instructions
should the nurse include in the teaching? - ANSWER- Tape a dry gauze
pad over the distal stoma to collect drainage.
-The distal stoma (also called a mucous fistula) secretes mucus; it does
not drain feces. A dry gauze dressing is usually suficient.
A nurse is teaching a patient with a new ileostomy about incorporative
preventive strategies at home. To prevent excoriation and breakdown of
the peristomal skin, the nurse should instruct the patient to: - ANSWER-
Empty the pouch when it is no more than half full.
-Waiting until the pouch is more than half full increases the risk of
leakge. Ileostomy effluent is irritating to peristomal skin, so patients
should replace the pouch when it is one-third to one-half full.
While a nurse is teaching a patient how to replace her ostomy pouching
system, the patient reports that removing the skin barrier is sometimes
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