A client is considering the placement of a continent ileostomy. What should the nurse explain as an advantage of this type of surgery?
1. Gas may be expelled
2. An appliance is not needed
3. Additional surgery may be required
4. A drainage catheter needs to be inserted several times a day
2
Rationale 1: A disadvantage is that gas may be expelled.
Rationale 2: With a continent ileostomy the stoma is flush with the skin, and no appliance is needed.
Rationale 3: A disadvantage is the potential need for additional surgery due to a slipped nipple valve or a fistula.
Rationale 4: The pouch stores liquid waste and is drained several times each day using a small catheter. The catheter is inserted through the opening on the abdomen into the pouch.
Global Rationale: With a continent ileostomy the stoma is flush with the skin, and no appliance is needed. A disadvantage is that gas may be expelled and the potential need for additional surgery due to a slipped nipple valve or a fistula. The pouch stores liquid waste and is drained several times each day using a small catheter. The catheter is inserted through the opening on the abdomen into the pouch.
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