A nurse helping a client with care planning following a surgery which resulted in a permanent colostomy would consider a short-term goal requiring the client to:
1. Be able to state signs and symptoms of skin breakdown.
2. Have a formed bowel movement every 2 days.
3. Identify food sources that are problematic for the situation.
4. Maintain a positive self-esteem.
Correct Answer: 1
Rationale 1: Initially, a client with a new colostomy must be aware of the signs and symptoms of skin breakdown and have a good knowledge base about basic skin care regimen. This should be accomplished before the client leaves the hospital in order to prevent problems at home.
Rationale 2: Normal bowel elimination patterns may not be present for some time, depending on the client's diet and activity level. This would be a long-term goal.
Rationale 3: Knowledge about what particular foods may cause problems for this client would be information the client gathers as time goes on.
Rationale 4: Overcoming body image changes for this client may take some time and this would be considered a long-term goal.
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