A patient has a colostomy in the descending (sigmoid) colon and wants to control bowel evacuation and possibly stop wearing an ostomy pouch. To help achieve this goal, the nurse should teach the patient to:
a. Call the primary care provider if the stoma becomes pale, dusky, or black
b. Limit the intake of gas-forming foods such as cabbage, onions, and fish
c. Irrigate the stoma to produce a bowel movement on a schedule
d. Avoid returning to the use of an ostomy appliance if he becomes ill
C
Patients with an ostomy in the descending or sigmoid colon may use colostomy irrigation as a means to control and schedule bowel evacuation and possibly eliminate the need to wear an ostomy pouch. Limiting the intake of gas-forming foods is a good idea from a social perspective; however, it does not help achieve the goal of having regular bowel movements, thus eliminating the need to wear a pouch. When illness occurs, it may be difficult to control the output, so the patient can use an ostomy appliance. This will not make it more difficult to schedule the BMs after the illness passes.
You might also like to view...
A 70-year-old male with a 40 pack-year history of smoking and long-standing non-insulin-dependent diabetes has been diagnosed with pancreatic cancer
Which of the following teaching points should the physician provide? A) "While this is indeed serious, you should know that you have a good chance of beating this disease with appropriate treatment." B) "Most likely your pattern of high alcohol intake over the years contributed to your cancer." C) "You will likely be facing surgery in the near future, but know that this is very unlikely to eliminate your cancer." D) "I know it may seem trivial at this point, but the levels of pain that accompany cancer of the pancreas are normally quite low."
A client asks, "What can I do to help decrease the amount of pain with labor?" The nurse's best response should be:
a. "Nothing, that is the way God intended it to be." b. "By trying to relax the contractions will be more efficient and the pain may be less." c. "We can give you medications to help with the pain." d. "You should not worry about the pain; leave that concern up to the staff."
In a statement of purpose, the researcher often communicates information beyond the substantive content through which of the following?
A) The specification of the population to be studied B) The operational definition of the research variables C) The prediction of anticipated relationships among variables D) The choice of verbs that suggest the state of knowledge on the topic or the approach to be used
A 2-year-old child is brought into the emergency department after ingesting a medication that causes respiratory depression. For which acid-base imbalance will the nurse most closely monitor this child?
a. Respiratory alkalosis b. Respiratory acidosis c. Metabolic acidosis d. Metabolic alkalosis