The nurse asks for a return demonstration from the client after providing client teaching on colostomy irrigation. Which client action requires the nurse to provide additional teaching?
1. Inserts irrigation cone without tip
2. Elevates irrigation bag above hips
3. Primes tubing with irrigation solution
4. Drains irrigation sleeve into commode
1
1. The nurse instructs the client to insert the irrigation cone with a lubricated tip to maintain stoma integrity by providing a smooth, gliding surface.
2. Elevating the irrigation solution above the hips helps to instill the solution into the bowel by providing positive pressure.
3. The client primes the irrigation tubing to remove the air to avoid instilling unne-cessary gas into the colon.
4. The client drains the irrigation sleeve into the commode as the irrigation solution infuses to dispose of the fecal contents effectively.
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