The nurse is caring for a patient who has had ileostomy surgery. Which of these should be included in the plan of care and have the highest monitoring priority after the surgery?
a. Bowel sounds every 4 hours for 24 hours
b. Food intake
c. Participation in stoma care
d. Stoma condition every 8 hours
ANS: D
The patient with a new ostomy has many nursing care needs. In addition to routine postoperative assessment, a stoma should be inspected at least every 8 hours to detect complications, such as color changes, that may require immediate surgery.
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