The nurse tells the client that his newly created permanent ileostomy:
1. Will initially produce dark green fecal matter.
2. Will require additional surgery in 2 to 3 months.
3. Was necessary when his condition required a gastroduodenostomy (Billroth I).
4. Should not produce any bloody discharge.
Will initially produce dark green fecal matter.
Rationale: Initially the ileostomy will produce effluent that is dark green and viscous, gradually turning yellow-brown. A permanent ileostomy does not generally require follow-up surgery. Immediately postoperative there may be small amounts of blood. An ileostomy is not the outcome of a gastroduodenostomy (Billroth I).
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