Which nutritional instruction is a priority for the nurse to advise a patient about with an ileostomy?
a. Keep fiber low.
b. Eat large meals.
c. Increase fluid intake.
d. Chew food thoroughly.
ANS: C
Patients with ileostomies will digest their food completely but will lose both fluid and salt through their stoma and will need to be sure to replace this to avoid dehydration. A good reminder for patients is to encourage drinking an 8-ounce glass of fluid when they empty their pouch. This helps patients to remember that they have greater fluid needs than they did before having an ileostomy. A low-fiber diet is not necessary. Eating large meals is not advised. While chewing food thoroughly is correct, it is not the priority; liquid is the priority.
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