NR 443 CHAPTER 26: THE PATIENT WITH AN OSTOMY

NR 443 CHAPTER 26: THE PATIENT WITH AN OSTOMY Chapter 26: The Patient with an Ostomy Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Which term appropriately defines an artificial opening into a body cavity? a. Gastrostomy b. Ostomy c. Colonoscopy d. Ureterostomy Why is a patient who has undergone a colostomy instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? a. The stoma will shrink during this time. b. A poor-fitting pouch will cause infection of the stoma. c. The paste will not adhere. d. Prolapse will result. A 47-year-old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery. Which assessment should the nurse report and record? a. Vital signs are temperature, 100° F; pulse, 92 beats/min; and blood pressure, 160/98 mm Hg. b. Stoma is swollen and red; small amount of blood is observed at the base. c. Pouch has drained 110 mL of green-brown liquid, oozing from the pouch edges. d. Stoma is protruding . A nurse is aware that many patients with ostomies have an altered self-image. What might this cause? a. Self-care deficits b. Sexual dysfunction c. Nonadherence to diet d. Irrational anger