The nurse is caring for a patient recovering from ileostomy surgery. What should have the highest priority when caring for the patient after surgery?
a. Food intake
b. Participation in stoma care
c. Stoma condition every 8 hours
d. Bowel sounds every 4 hours for 24 hours
ANS: C
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. A. Postoperatively food intake may be limited. B. It is too soon to expect the patient to participate in stoma care. D. Bowel sounds will most likely be absent or sluggish after surgery.
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