The nurse's instructions to a client with a newly created Koch ileostomy (continent ileostomy) include: Select all that apply
1. The surgery involved manipulating a portion of the terminal ileum.
2. A nipple valve was created to control the flow of fecal matter.
3. The stoma should appear pink and moist.
4. Fecal matter will be removed by a catheter inserted through the stoma.
5. The stoma will be reversed when the bowels have had the time to heal.
1. The surgery involved manipulating a portion of the terminal ileum.
2. A nipple valve was created to control the flow of fecal matter.
3. The stoma should appear pink and moist.
4. Fecal matter will be removed by a catheter inserted through the stoma.
Rationale: The surgery involved manipulating a portion of the terminal ileum. A continent ileostomy, also known as Kock ileostomy or Kock pouch, involves the terminal ileum being folded back on itself and the inner wall removed, thereby forming a reservoir and a nipple valve. The end is then brought through the abdominal wall to form a stoma. A nipple valve was created to control the flow of fecal matter. The nipple valve prevents leaking of fecal contents through the stoma. The stoma should appear pink and moist. The stoma should appear pink and moist. Fecal matter will be removed by a catheter inserted through the stoma. The reservoir is emptied by a catheter inserted through the stoma. The stoma will be reversed when the bowels have had the time to heal. This is not generally a reversible, temporary procedure.
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