A client has undergone abdominal perineal resection for a bowel ...

[geodog55]

A client has undergone abdominal perineal resection for a bowel tumor. The nurse interprets that the client's colostomy is beginning to function if which of the following signs is noted?
 
  1. Absent bowel sounds
  2. The passage of flatus
  3. Blood drainage from the colostomy
  4. The client's ability to tolerate food

Question 2

The client is to receive 1000 mL of D5W at 100 mL/hr. The drop factor is 10 drops/mL. The nurse adjusts the flow rate to deliver how many drops per minute? (Enter the answer in the space provided.)
 
  What will be an ideal response?

[nguyenhoanhat]

Answer to Question 1

2

Rationale: Following abdominal perineal resection, a colostomy should begin to function within 72 hours after surgery, although it may take up to 5 days. The nurse should monitor for a return of peristalsis by listening for bowel sounds and checking for the passage of flatus. Absent bowel sounds indicate that peristalsis has not returned. The client would remain NPO until bowel sounds return and the colostomy is functioning. Bloody drainage is not expected from a colostomy.

Answer to Question 2

__________ drops per minute

[geodog55]

Excellent

[Joy Chen]

Wow, this really help