A client who has had a colostomy placed in the ascending colon expresses concern that the effluent collected in the colostomy pouch has remained liquid for 2 weeks after surgery. Which is the nurse's best response?
a. "This is normal for your type of colosto-my."
b. "I will let the health care provider know, so that it can be assessed."
c. "You should add extra fiber to your diet to stop the diarrhea."
d. "Your stool will become firmer over the next few weeks."
A
The stool from an ascending colostomy can be expected to remain liquid because little large bo-wel is available to reabsorb the liquid from the stool. The provider may be notified, but this is not the best response from the nurse. Liquid stool from an ascending colostomy will not become firmer with the addition of fiber to the client's diet or with the passage of time.
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