Author Question: A nurse is teaching a client how to irrigate his colostomy. The nurse informs the client that the ... (Read 92 times)

future617RT · **on:** Jul 22, 2018

A nurse is teaching a client how to irrigate his colostomy. The nurse informs the client that the colostomy should be irrigated for which of the following reasons?

A) Control the drainage of liquid stool.
B) Regulate the timing of bowel movements.
C) Control the drainage of urine.
D) Prevent skin breakdown near the ostomy.

Question 2

A nurse is assessing the skin of a client who had been on a hiking trip and developed a number of inflamed red patches on his hands and face as an allergic reaction. How should the nurse document this finding?

A) Erythema
B) Pallor
C) Petechiae
D) Ecchymosis

kxciann · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
The purpose of irrigation is to remove formed stool and, in some cases, to regulate the timing of bowel movements. The drainage of liquid stool and urine is part of continent ostomy. Irrigating a colostomy does not prevent the breakdown of skin, but providing peristomal care to the client does.

Answer to Question 2

A
Feedback:
The nurse should document this finding as erythema. If the skin appears pale, it is documented as pallor. The presence of purple patches on the skin, due to trauma to soft tissue, is documented as ecchymosis. Petechiae are small red or purple spots on the skin.