A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How should the nurse respond?
a. "The stool will always be liquid with this type of colostomy."
b. "Eating additional fiber will bulk up your stool and decrease diarrhea."
c. "Your stool will become firmer over the next couple of weeks."
d. "This is abnormal. I will contact your health care provider."
ANS: A
The stool from an ascending colostomy can be expected to remain liquid because little large bowel is available to reabsorb the liquid from the stool. This finding is not abnormal. Liquid stool from an ascending colostomy will not become firmer with the addition of fiber to the client's diet or with the passage of time.
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