Ostomy Care Questions and Answers 100% Verified

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Ostomy Care Questions and Answers 100% Verified The nurse recognizes water effluent coming from the ostomy is indicative of what location: ✔✔Ilial portion of the small intestine The nurse noti... ces that the effluent ranges from a thick liquid to a semi-formed stool, indicative of which location: ✔✔transverse or ascending colon The nurse is caring for a patient who had a colostomy placed 5 days earlier. The nurse notes that the stoma is red and moist. Which action should the nurse take? ✔✔Note the condition of the stoma in her notes. In caring for a patient who had a fecal surgical diversion, which nursing intervention is essential? ✔✔Place a pouch over the newly created stoma. When planning care for a patient who has a colostomy, which intervention is important for the nurse to perform when pouching the colostomy? ✔✔Leave an intact skin barrier in place for 3-7 days. When providing care for a patient with a colostomy or ileostomy, the nurse recognizes that which is an expected assessment finding? ✔✔A moist, reddish-pink stoma. The nurse is caring for a preterm infant in the neonatal ICU who has multiple stomas. Given the uniqueness of infants, which action is essential for the nurse to take? ✔✔Use a pouch that can accommodate increased amounts of flatus. In caring for a patient who has a pouching for a noncontinent urinary diversion, which nursing intervention is essential? ✔✔Empty the pouch when it is 1/3 - 1/2 full. When assessing the patient with a noncontinent urinary diversion, the nurse finds that the urine has mucous shreds. What action should the nurse take? ✔✔Note the characteristics of the urine in her notes. The nurse has removed the patient's old urostomy pouch and is attempting to measure the stoma opening for placement of a new pouch. Which action should the nurse take next? ✔✔Place rolled gauze at the stoma opening. A patient who has a urostomy is being discharged to home. Which instruction will the nurse provide to the patient? ✔✔Shower without covering the pouch. The nurse is caring for a patient who has a urinary diversion. She notices that the patient has a temp of 102 and foul-smelling urine. What action should the nurse take? ✔✔Notify the physician The nurse is preparing to catheterize a patient who has a urostomy and uses a two-piece pouch system. The nurse should take which action: ✔✔Remove the pouch and leave the barrier attached. The nurse is caring for a patient who will have surgery in the morning to have a colostomy placed. The nurse is aware of teh physical and emotional stresses that the patient will experience, including: ✔✔Body image changes Fear of social rejection Sexual function and intimacy issues Loss of independence The opening created in the abdominal wall for fecal or urinary elimination is known as a _____ ✔✔Stoma The output from a urinary or fecal stoma is called the _____ ✔✔effluent A ______ is an opening in the large intestine or colon for elimination of fecal material. ✔✔colostomy AN opening that is in the ileal portion of the small intestine is an _____ ✔✔ileostomy An ostomy that is created from a portion of the ileum to form a stoma through which urine can exit the body is called a(n) _____ ✔✔urostomy/ileal conduit [Show More]

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