Author Question: The nurse is caring for a client with Crohn's disease who had surgery to create a continent bowel ... (Read 57 times)

Yolanda · **on:** Jul 16, 2018

The nurse is caring for a client with Crohn's disease who had surgery to create a continent bowel diversion. Which of the following describes this type of surgery?

A) The client's own tissues are formed into internal receptacles for stool.
B) An opening is made into the colon and intestines are brought outside the body.
C) An opening is made in the ileum and intestines are brought outside the body.
D) A loop of intestine is brought through a stoma to allow for feces drainage.

Question 2

The nurse caring for hospitalized children knows that these children need protection from contagious diseases. What infection control measures are recommended in this situation?

A) Use isolation protection when handling all children.
B) Wash hands thoroughly if in contact with any body fluids.
C) Change disposable gowns at least once a shift.
D) Wear colorful, reusable gowns.

fffftttt · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

A
Feedback:
In some cases, the use of surgical techniques results in the removal and rerouting of intestinal tissues internally with the goal of avoiding external ostomies. In these instances, the client's own tissues may be formed into internal receptacles for stool. A bowel diversion (also known as fecal diversion) occurs when a portion or all of the ileum or bowel is removed, creating the need for an artificial opening for bowel elimination. An incision is made in the abdomen, and a loop of intestine is brought through the incision and opened to allow for feces drainage. The opening is called a stoma or ostomy. A colostomy is an opening into the colon, whereas an ileostomy is an opening into the ileum.

Answer to Question 2

C
Feedback:
Most healthcare facilities use disposable gowns. The nurse should change the gown at least once each shift and more often if needed, then discard it after use. Healthcare personnel and family members of children younger than 2 years are usually required to wear isolation protection when handling children with contagious diseases to prevent the spread of infection. The nurse should wear gloves if in contact with any body fluids or substances, including stool, emesis, urine, or blood.