Author Question: The nurse explains which advantage benefits patients with a Kock pouch ileostomy? a. The patient ... (Read 48 times)

asan beg · **on:** Jun 25, 2018

The nurse explains which advantage benefits patients with a Kock pouch ileostomy?

a. The patient can expel feces from the rec-tum in the normal fashion.
b. The patient does not have to wear a col-lection device.
c. The patient only has to evacuate the pouch once a day.
d. The patient can have the pouch reanasto-mosed to the colon at a later time.

Question 2

The nurse caring for the patient who is immediately postoperative with a new ileostomy. Which intervention is most important for the nurse to implement at this time?

a. Change the ostomy pouch frequently.
b. Provide emotional support.
c. Administer a stool softener.
d. Offer the patient frequent snacks.

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

Answer to Question 1

B
The major advantage of the Kock pouch is that the patient does not have to wear a collection de-vice. The feces are collected in the pouch and emptied by the patient inserting a catheter into the pouch every 3 or 4 hours.

Answer to Question 2

B
Helping the patient adjust to the new ostomy is one of the highest priorities in the immediate postoperative period. In the immediate postoperative period, the pouch should not be changed any more than is necessary to avoid trauma to the skin. A stool softener is not indicated since stools are usually softer and more watery when coming from a stoma. Diet advancement is a gradual process that must coordinate with returning bowel function, and the patient may be NPO for a short time while bowl motility returns.