The nurse caring for a patient with a newly created ileostomy assesses the patient and notes symptoms that may be indicative of an intestinal obstruction. The nurse reports the symptoms to the physician immediately
What symptoms may indicate an intestinal obstruction in a patient with an ileostomy?
A) Continuous flow of liquid stools and belching
B) Hypervolemia and hyperkalemia
C) Muscle spasms and numbness of the extremities
D) Nausea and abdominal distention
Ans: D
Feedback: It is important to report nausea and abdominal distention, which may indicate intestinal obsruction. Dehydration and electrolyte deficiencies may occur due to fluid losses through the ileostomy. The drainage from an ileostomy is a continuous liquid from the small intestine because the stoma does not have a controlling sphincter. Numbness of the extremities and belching do not indicate an intestinal obstruction. Muscle spasms may be related to electrolyte deficiencies.
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