A nurse is talking with a patient who is scheduled to have a hemicolectomy with the creation of a colostomy
The patient admits to being anxious, and has many questions concerning the surgery, the care of a stoma, and necessary lifestyle changes. Which of the following nursing actions is most appropriate?
A) Reassure the patient that the procedure is relatively low risk and that patients are usually successful in adjusting to an ostomy.
B) Provide the patient with educational materials that match the patient's learning style.
C) Encourage the patient to write down these concerns and questions to bring forward to the surgeon.
D) Maintain an open dialogue with the patient and facilitate a referral to the wound-ostomy-continence (WOC) nurse.
Ans: D
Feedback:
A wound-ostomy-continence (WOC) nurse is a registered nurse who has received advanced education in an accredited program to care for patients with stomas. The enterostomal nurse therapist can assist with the selection of an appropriate stoma site, teach about stoma care, and provide emotional support. The surgeon is less likely to address the patient's psychosocial and learning needs. Reassurance does not address the patient's questions, and education may or may not alleviate anxiety.
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