Author Question: The nurse is caring for a patient with an ostomy. The nurse notes that the ostomy is putting out ... (Read 88 times)

bcretired · **on:** Jun 25, 2018

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?

a. Descending colon
b. Sigmoid colon
c. Ileal portion of the small intestine
d. transverse colon

Question 2

Which of the following are examples of wounds that heal by secondary intention? (Select all that apply.)

a. Burns
b. Surgical incisions
c. Infected wounds
d. Deep pressure ulcers

reversalruiz · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
An opening in the ileal portion of the small intestine is an ileostomy, and the fecal effluent will be watery to thick liquid that will contain some digestive enzymes. A colostomy in the descending or sigmoid colon generally results in a stool similar to that normally passed through the rectum. If the opening is in the transverse or ascending colon, the effluent will vary from thick liquid to semi-formed stool.

Answer to Question 2

A, C, D
Healing by secondary intention occurs when a wound is left open. Healing results in the formation of granulation tissue from the bottom of the wound and eventual epithelialization from the sides of the wound to close the defect. During the process of epithelialization, epithelial cells migrate and proliferate from the wound edges to cover the wound surface. Burns, infected wounds, and deep pressure ulcers heal in this manner.