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The nurse is caring for a patient with an ostomy. The nurse notes that the
ostomy is putting out watery effluent. The nurse recognizes that this is
indicative of which location? - 🧠 ANSWER ✔✔Ileal portion of the small
intestine
The nurse is caring for a patient who has an ostomy. The nurse notices that
the effluent ranges from a thick liquid to a semi-formed stool. The nurse
recognizes that this is indicative of which location? - 🧠 ANSWER
✔✔Transverse or ascending colon
The nurse is caring for a patient who had a colostomy placed 5 days
earlier. The nurse notes that the stoma is red and moist. Which action
, should the nurse take? - 🧠 ANSWER ✔✔Note the condition of the stoma in
her notes.
In caring for a patient who had a fecal surgical diversion, which nursing
intervention is essential? - 🧠 ANSWER ✔✔Place a pouch over the newly
created stoma.
When planning care for a patient who has a colostomy, which intervention
is important for the nurse to perform when pouching the colostomy ? - 🧠
ANSWER ✔✔Leave an intact skin barrier in place for 3 to 7 days.
When providing care for a patient with a colostomy or an ileostomy, the
nurse recognizes that which is an expected assessment finding? - 🧠
ANSWER ✔✔A moist, reddish-pink stoma
The nurse is caring for a preterm infant in the neonatal intensive care unit
who has multiple stomas. Given the uniqueness of infants, which action is
essential for the nurse to take? - 🧠 ANSWER ✔✔Use a pouch that can
accommodate increased amounts of flatus.
In caring for a patient who has a pouching for a noncontinent urinary
diversion, which nursing intervention is essential? - 🧠 ANSWER ✔✔Empty
the pouch when it is one-third to one-half full.