Author Question: The parents demonstrate that they have understood the nurse's teaching with regard to colostomy ... (Read 85 times)

cmoore54 · **on:** Jun 27, 2018

The parents demonstrate that they have understood the nurse's teaching with regard to colostomy stoma care for their infant if they state:

1. We will change the colostomy bag with each wet diaper..
2. We will use adhesive enhancers when we change the bag..
3. We will watch for skin irritation around the stoma..
4. We will expect a small amount of bleeding after cleansing the area around the stoma..

Question 2

The nurse is evaluating an infant's tolerance of a feeding post-pyloromyotomy. Which finding indicates the infant is not tolerating the feeding?

1. Need for burping after 30 cc
2. Presence of bowel sounds
3. Passing gas
4. Emesis

courtney_bruh · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale:
1. Physical or chemical skin irritation can occur if the appliance is changed too frequently, such as with each wet diaper.
2. Adhesive enhancers should be avoided on the skin of newborns. Their skin layers are thin, and removal of the appliance can strip off the skin. Also, adhesive contains latex, and its constant use is not advised due to risk of latex allergy development.
3. Skin irritation around the stoma should be assessedit might indicate leakage.
4. Bleeding usually is attributable to excessive cleaning.

Answer to Question 2

4
Rationale:
1. Burping after 30 cc would indicate tolerance of the feeding.
2. The presence of bowel sounds would indicate tolerance of the feeding.
3. Passing gas would be an expected finding following a pyloromyotomy, and would indicate tolerance of the feeding.
4. An infant is not tolerating feedings after a pyloromyotomy if emesis is present.