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Author Question: An infant with Hirschsprung's disease has a temporary colostomy. Which statement by the infant's ... (Read 74 times)

acc299

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on: Jun 27, 2018
An infant with Hirschsprung's disease has a temporary colostomy. Which statement by the infant's mother indicates she understands how to care for the infant's colostomy at home?
 
  a. I need to be careful to check the skin around the colostomy for breakdown and be sure I keep it clean..
  b. I'll call my home health nurse if the colostomy bag needs to be changed..
  c. I'll call the doctor if I notice that the co-lostomy stoma is pink..
  d. I'll have my mother help me with the care of the colostomy..

Question 2

What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?
 
  a. Preventing the spread of illness to others
  b. Nutritional guidance and preventing constipation
  c. Teaching daily use of enemas
  d. Coping with stress and adjusting to a chronic illness


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princessflame2016

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Reply #1 on: Jun 27, 2018
Answer to Question 1

A
Preventing skin breakdown is a priority concern when caring for a colostomy. The mother should be taught the basics of colostomy care, including how to change the appliance. The colostomy stoma should be pink in color, not pale or discolored. There is no evidence that her mother knows how to care for a colostomy.

Answer to Question 2

D
Coping with the stress of a chronic illness and the clinical manifestations associated with ulcerative colitis (diarrhea, pain) are important teaching foci. Ulcerative colitis is not infectious. Although nutritional guidance is a priority teaching focus, diarrhea is a problem with ulcerative colitis, not constipation. Teaching daily use of enemas is not part of the therapeutic plan of care.


acc299

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Reply #2 on: Jun 27, 2018
Thank you


princessflame2016

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Reply #3 on: Jun 27, 2018
No problemo


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