Exam 26: The Patient with an Ostomy

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

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

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:

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

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: (Select all that apply.)

The nurse instructs the patient to be diligent in cleaning fecal matter from around the stoma because the fecal matter can cause: (Select all that apply.)

The nurse counsels that complications of the continent pouches (Kock and Indiana)may be: (Select all that apply.)

The most effective way for a nurse to help provide support to the ostomate who has ineffective regimen management is to:

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 nurse explains to a preoperative patient that a J-pouch anal anastomosis procedure has the primary advantage of:

The nurse explains that an artificial opening into a body cavity is a(n):

A patient is receiving discharge instructions.He shares with the nurse that he intends to do a lot of traveling.Instructions for travel should include which one of these points?

The nurse cautions that some adhesive pouch material used to hold the appliance in place may cause:

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

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

The patient says,"I hate this yucky paste under my appliance.I think I will just tape it on." The nurse's most informative response to this remark would be which of the following?

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

A patient who has had a temporary colostomy to rest his ulcerated bowel says,"I don't know how I will continue to work at my job with this thing stuck to my stomach." The nurse's best response to stimulate communication would be: