The patient with a 4-day-old ileostomy complains of cramping. The nurse notes a drop in the effluent for the ileostomy. The bowel sounds are rapid with a "tinkling" sound. The nurse should:
a. ambulate the patient to help expel gas.
b. irrigate the ileostomy with 500 mL of warm water.
c. notify the charge nurse immediately of possible obstruction.
d. turn the patient on the left side to help drain the ileostomy.
C
Cramping and reduced effluent from a new ileostomy should be reported immediately as these are signs of obstruction, which could lead to perforation. Ileostomies are not irrigated except by the physician or an enterostomal therapist.
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