The nurse is caring for a client with Crohn's disease who had surgery to create a continent bowel diversion. Which of the following describes this type of surgery?
A) The client's own tissues are formed into internal receptacles for stool.
B) An opening is made into the colon and intestines are brought outside the body.
C) An opening is made in the ileum and intestines are brought outside the body.
D) A loop of intestine is brought through a stoma to allow for feces drainage.
A
Feedback:
In some cases, the use of surgical techniques results in the removal and rerouting of intestinal tissues internally with the goal of avoiding external ostomies. In these instances, the client's own tissues may be formed into internal receptacles for stool. A bowel diversion (also known as fecal diversion) occurs when a portion or all of the ileum or bowel is removed, creating the need for an artificial opening for bowel elimination. An incision is made in the abdomen, and a loop of intestine is brought through the incision and opened to allow for feces drainage. The opening is called a stoma or ostomy. A colostomy is an opening into the colon, whereas an ileostomy is an opening into the ileum.
You might also like to view...
Administer 12 mL of an IV medication in 22 minutes using a microdrip set. _____
a. 11 gtt/min b. 20 gtt/min c. 33 gtt/min d. 50 gtt/min
Equipment depreciation, fringe benefits, and salaries are considered:
a. fixed costs c. direct expenses b. variable costs d. indirect expenses
A 76-year-old man has had his quality of life significantly affected by chronic obstructive pulmonary disease (COPD), a condition that has brought a steady decline in his activity tolerance, his mobility, and ultimately his independence
In light of the apparent ineffectiveness of conventional treatment, the man is eager to forego conventional treatments and explore alternative and complementary treatment options. How can the man's nurse best direct him? A) "This is a wise decision, since conventional treatments are motivated by profit and the interests of pharmaceutical companies, not patients.". B) "These are good options to explore, but you will need to set aside your physician's advice in the short term in order to get accurate information.". C) "Try not to think of your options as choosing either conventional treatment or alternative therapies, but rather choosing the best of both.". D) "Your care team is probably ignorant of alternative therapies, so you'll have to go elsewhere for any information you need.".
The initial process of bone healing occurring at the fracture site in the first 72 hours is
a. formation of a hematoma. b. formation of a provisional callus. c. proliferation of osteoblasts. d. reabsorption of the clot.