Ostomy Care

A nurse is replacing the ostomy appliance for a client whose newly created colostomy is functioning. After removing the pouch, which of the following actions should the nurse take first?

Cleanse the stoma and peristomal skin

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 participating in social activities because they are concerned about signs of leakage. Which of the following should the nurse recommend?

Consume foods that are low in fiber content

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?

Empty the bowel pouch when it is less than half full

A nurse is reinforcing teaching 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?

Ileostomy

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 elimination?

Kock's pouch

A nurse is teaching a client about extended wear skin barriers. Which of the following strategies should the nurse instruct the client to use for maximum adherence?

Press gently around the barrier for 30-60 sec

A nurse is reinforcing teaching with a client about replacing an ostomy pouching system. The client reports that they occasionally experience pain when removing the skin barrier. Which of the following techniques should the nurse suggest?

Push the skin away from the barrier while removing it

Describe a colostomy.

The colon and large bowel is intact and brought to the skins surface.

Describe an ileostomy.

The ileum or small bowel is intact, and brought to the skins surface.

A nurse is providing preoperative teaching for a client who is scheduled for creation of a sigmoid colostomy. Which of the following information should the nurse include in the teaching?

Use irrigation to help establish a regular bowel pattern