The nurse teaches a patient with Crohn disease about surgery to create a continent ileostomy. Which patient statements indicate that teaching has been effective?
Select all that apply.
1. "I will need to change my diet."
2. "Stool will collect in an internal pouch."
3. "Stool will not leak through the stoma."
4. "I will use a catheter to drain the stool."
5. "I will need to change the bag every day."
Correct Answer: 2, 3, 4
In a continent ileostomy an intra-abdominal reservoir is constructed and a nipple valve formed from the terminal ileum before it is brought to the surface of the abdominal wall. Stool collects in the internal pouch; the nipple valve prevents it from leaking through the stoma. A catheter is inserted into the pouch to drain the stool. An ostomy bag does not need to be worn with a continent ileostomy.
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