A client is to undergo surgery for the creation of a continent ileostomy. Which statement by the client indicates successful teaching?
A) "I'll need to empty the appliance more frequently."
B) "I'll need to learn how to empty the reservoir several times a day."
C) "My stool will be loose initially but then become formed in a week or so."
D) "I'll just push on the valve and the drainage will flow out easily."
B
Feedback:
A continent ileostomy involves the creation of an internal reservoir for the storage of GI effluent. It stores the effluent for several hours until the client removes it with a catheter. Initially, the reservoir is emptied every 2 to 4 hours, and then three to four times per day as the capacity of the reservoir increases (usually about in 6 months). This reservoir eliminates the need to wear an external appliance. Stool will continue to be liquid at all times. A continent ileostomy does have a nipple valve through which a catheter is inserted to drain the reservoir.
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