2026\2027
Given that DS previously had a total colectomy, would he have a colostomy or an ileostomy?
- correct answer He would have to have an ileostomy, since the entirety of his colon has already been
previously removed. Due to his current anatomy the ileum must be used for emptying.
What would you expect to see if DSs ostomy has normal function
- correct answer Normal, passive, passing of gas/stool (1200mL/day)
Beefy red stoma
Describe 3 common complications with an ileostomy.
- correct answer obstruction/blockage - avoid solid foods after surgery and fully chew food, massage
area around stoma
Skin breakdown/stoma issues
Dehydration - there is no large intestine so you are not properly/effectively absorbing water from food
waste, drink A LOT (avoids kidney stones/kidney failure)
Vitamin B12 deficiency - part of the colon for regulating the levels is removed
DSs past medical history of fistula, combined with the probability of blockage or obstruction, places him
at an increased risk for which problems?
- correct answer This places him at high risk for infections
As you assess the stoma, you look for signs that it is healthy. Which assessment findings are
characteristics of a healthy stoma?
- correct answer The stoma is moist
The stoma is cherry red to dark pink in color (beefy red)
What stoma changes would you report immediately to the physician?
- correct answer If the stoma is bleeding