Exam 20: Ostomy Care

The nurse cares for a female Asian patient on the fourth postoperative day after an ileostomy.The patient tells the nurse that she doesn't think she can cope and refuses to look at the ileostomy.What approach by the nurse would be most helpful in this situation?

2. Feces and urine can flow through a segment of the colon or small intestine and out through the opening (called a stoma)on the abdomen.The output from the stoma is called the ________.

A patient has a new incontinent urostomy because of bladder cancer.The patient asks how he will manage "all of this urine" at night.Which response by the nurse is best?

A patient with an ascending colostomy made as a result of abdominal trauma 4 days ago closes his eyes during stoma care.What patient outcome is most important for the nurse to help the patient achieve?

1. A ___________ is surgically created by transplanting the ureters into a closed-off portion of the intestinal ileum.

The nurse evaluates the effluent from the patient's new ileostomy.What does the nurse expect the effluent to look like immediately after surgery?

The patient notices that the newly formed ileostomy stoma is pinkish red and slightly puffy.Which information should the nurse include during patient teaching?

The nurse is educating a patient about care of a stoma after discharge.Which of the following statements indicate a good level of understanding? (Select all that apply.)

You are the home care nurse visiting a patient who is recently discharged home with an ostomy.Which of the following statements requires you to provide some additional teaching? (Select all that apply.)

The nurse notices that the patient's stoma is darker than before,purplish in color,and dry.The patient has been taking care of the ostomy independently.What action should the nurse take initially?

The nurse is teaching the patient how to size the skin barrier around the stoma.Which instructions does the nurse include?

The nurse instructs a patient about home colostomy care.What information does the nurse include in patient teaching about caring for the pouch?

The patient's urinary output from his urostomy is 150 mL in the last 4 hours.What action should the nurse take?

The home health nurse pouches an enterostomy for a patient with serious financial constraints.What should the nurse recommend to the patient about his ostomy care?

A patient is hesitant to look at his stoma 2 days after colostomy surgery.Which is the best response by the nurse to the patient?

A patient with a urinary diversion requires a sterile urine specimen for culture and sensitivity.Which action should the nurse take to obtain the sterile specimen?