Ostomy Care Questions and Answers Graded A+

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Ostomy Care Questions and Answers Graded A+ A nurse is reinforcing teaching with a client who has colon cancer and is scheduled for a procedure to remove their entire large intestine and rectum. The nurse should reinforce with the client that they are scheduled for which of the following types of ostomy procedure? Cecostomy Loop colostomy Ileostomy Descending colostomy ✔Ans✔ Ileostomy After removing the entire large intestine and the rectum, the provider will create an ileostomy to divert feces from the small intestine to the abdominal surface and into an ostomy pouch. A nurse is obtaining health history from a client who has a colostomy. The client reports frequent episodes of loose stools over the last month but has no signs of infection or bowel obstruction. The client tells the nurse that they have avoided participation in social activities because they are concerned about leakage. Which of the following should the nurse recommend? Consume foods that are low in fiber content. Take an ounce of mineral oil twice a day. Add buttermilk and cranberry juice to the diet. Increase water intake to 3 to 3.5 L per day. ✔Ans✔ Consume foods that are low in fiber content. The nurse should recommend that the client consume foods low in fiber to help thicken the stool. Examples of low-fiber foods include rice, noodles, white bread, and cheese. A nurse is teaching a client who has bladder cancer about urinary diversion options. The nurse should inform the client that which of the following options will allow them to have some control over urinary eliminations? Kock's pouch Ileal conduit Cutaneous ureterostomy Nephrostomy ✔Ans✔ Kock's pouch A Kock's pouch is a continent ileal bladder conduit that does not require an external drainage collection device because the client self-catheterizes every 2 to 4 hr to remove urine. This device will allow the client to have some control over urinary elimination. A nurse is providing preoperative teaching for a client who is scheduled for creation of a sigmoid colostomy. Which of the following info should the nurse include in the teaching? Expect the effluent from the sigmoid colostomy to be loose and continuous. Use irrigation to help establish a regular bowel pattern. Change the stoma's appliance every other day. Expect effluent from the newly created stoma within 24 hr after surgery. ✔Ans✔ Use irrigation to help establish a regular bowel pattern Clients with sigmoid colostomies can use irrigation to help control the passage of stool. Once the client has established a regular bowel pattern, the they can wear a stoma cap over the site, but they do not need an external appliance. A nurse is teaching a client who has a new ileostomy about preventing the excoriation and breakdown of the peristomal skin after they have returned home. Which of the following instructions should the nurse include?

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