What information should the nurse provide for the patient with a newly created Kock ileostomy (continent ileostomy)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The stoma will be reversed when the bowels have had the time to heal.
2. Fecal matter will be removed by a catheter inserted through the stoma.
3. A nipple valve was created to control the flow of fecal matter.
4. The stoma should appear pink and moist.
5. The surgery involved manipulating a portion of the terminal ileum.
2,3,4,5
Rationale 1: This is not generally a reversible, temporary procedure.
Rationale 2: The reservoir is emptied by a catheter inserted through the stoma.
Rationale 3: The nipple valve prevents leaking of fecal contents through the stoma.
Rationale 4: As in any ostomy procedure, the stoma should appear pink and moist.
Rationale 5: A continent ileostomy, also known as Kock ileostomy or Kock pouch, involves folding the terminal ileum back on itself and removing the inner wall, thereby forming a reservoir and a nipple valve. The end is then brought through the abdominal wall to form a stoma.
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