The nurse is caring for a client who had ileostomy surgery 10 days ago. The client verbalizes concerns that the effluent has not become formed and is still liquid green. Which is the nurse's best response?
a. "I will call your health care provider right away because the stool should be semi-solid by now."
b. "Your stools will firm up in a few weeks as your body gets used to the ileostomy."
c. "You should eat a high-fiber diet to help make the stool bulkier and more solid."
d. "You can add buttermilk or yogurt to your diet and avoid carbonated soft drinks."
B
Effluent from an ileostomy will become less liquid (but not solid) over time as the body adapts to loss of the large bowel. This process takes time and the client should be reassured of this. Clients with a new ileostomy should avoid high-fiber diets for the first few weeks because blockage of the bowel may occur. Buttermilk, yogurt, and carbonated drinks will not affect this process.
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