Author Question: The nurse teaches a patient with Crohn disease about surgery to create a continent ileostomy. Which ... (Read 49 times)

imanialler · **on:** Jun 25, 2018

The nurse teaches a patient with Crohn disease about surgery to create a continent ileostomy. Which patient statements indicate that teaching has been effective?

Select all that apply.

1. I will need to change my diet.
2. Stool will collect in an internal pouch.
3. Stool will not leak through the stoma.
4. I will use a catheter to drain the stool.
5. I will need to change the bag every day.

Question 2

A patient with Crohn disease is instructed to ingest a low-residue diet. Which dietary choices indicate that the patient needs additional information about this eating plan?

Select all that apply.

1. corn flakes
2. poppy seed roll
3. tapioca pudding
4. steamed broccoli
5. whole grain bread

Fayaz00962 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4
In a continent ileostomy an intra-abdominal reservoir is constructed and a nipple valve formed from the terminal ileum before it is brought to the surface of the abdominal wall. Stool collects in the internal pouch; the nipple valve prevents it from leaking through the stoma. A catheter is inserted into the pouch to drain the stool. An ostomy bag does not need to be worn with a continent ileostomy.

Answer to Question 2

Correct Answer: 2, 4, 5
Raw or cooked seeds, cooked vegetables, and whole grain breads should be avoided on a low-residue diet. Cereals such as corn flakes and desserts such as tapioca are permitted on a low-residue diet.