Exam 26: The Patient With an Ostomy

The postoperative ostomate is at risk for loss of fluid volume and electrolyte imbalance.The assessments that indicate such loss are:

The 1-day postoperative ileostomy patient is concerned about the fact that no drainage has occurred from the ileostomy.The nurse reminds the patient that:

The initial assessment of a patient just returned from surgery for the creation of an Indiana pouch would include the:

The 20-year-old patient with a permanent colostomy asks whether she will be able to become pregnant.The nurse's most informative response would be:

In postoperative teaching to a patient who has undergone a ureterostomy,the nurse would include information pertaining to the:

A baby born without a urinary bladder has a cutaneous ureterostomy with one stoma and a cutaneous ureterostomy has been surgically created.One stoma exists.Discussion with the child's family regarding the care should include which of the following?

The best nursing strategy for encouraging ostomy patient self-care would be to:

When the patient complains of urine crystals forming on the urostomy stoma,the home health nurse recommends dissolving them with a pad saturated with _________.

The patient asks if rectal suppositories can be used to assist with constipation problems with his colostomy.The nurse clarifies that suppositories:

To assist a colostomy patient in selecting an appropriate diet to reduce excess gas or diarrhea,the nurse would encourage the patient to choose:

The major considerations for placement of a stoma are to provide:

To ensure a good fit of the appliance to avoid leakage,the nurse would instruct the patient to:

The patient asks the nurse if karaya products can be used to seal the urostomy appliance.The nurse's response is based on the knowledge that:

The nurse caring for the immediate postoperative patient with an ileal conduit should report or intervene for:

The patient comes to the industrial nurse and is frantic because the stoma to the colostomy has prolapsed 1 year after surgery.The nurse's best counsel would be:

The nurse instructs the patient to be diligent in cleaning fecal matter from around the stoma because the fecal matter can cause:

Because the colostomy patient continues to worry about odor,the nurse can allay those concerns by explaining that odor can be diminished by:

The nurse caring for a 2-day postoperative colostomy patient should report immediately if a stoma is assessed and:

A 47-year-old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery.The assessment that the nurse should report and record is:

The nurse who is caring for a patient with an ileostomy is aware that the continual loss of liquid stool may result in: