Author Question: A patient had an ileostomy surgically placed 2 days ago. Which diet would the nurse recommend to the ... (Read 40 times)

mydiamond · **on:** Jul 22, 2018

A patient had an ileostomy surgically placed 2 days ago. Which diet would the nurse recommend to the patient to ease the transition of the new ostomy?

a. Eggs over easy, whole wheat toast, and orange juice with pulp
b. Chicken fried rice with stir fried vegetables and iced tea
c. Turkey meatloaf with white rice and apple juice
d. Fish sticks with macaroni and cheese and soda

Question 2

A patient is diagnosed with a bowel obstruction. The nurse chooses which type of tube for gastric decompression?

a. Salem sump
b. Dobhoff
c. Sengstaken-Blakemore
d. Small bore

Jody Vaughn · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
During the first week or so after ostomy placement, the patient should consume easy-to-digest low-fiber foods such as poultry, rice and noodles, and strained fruit juices. Fried foods can irritate digestion and can cause blockage. Foods high in fiber will be useful later in the recovery process but can cause blockage if the GI tract is not accustomed to digesting with an ileostomy.

Answer to Question 2

A
A bowel obstruction causes a backup into the gastric area; a nasogastric tube may be inserted to decompress secretions and gases from the gastrointestinal tract. The Salem sump has the width and functionality needed to both feed and suction, and it is ideal for a bowel obstruction. A Dobhoff tube is used for instillation of feedings. A Sengstaken-Blakemore tube is used to compress stomach contents to prevent hemorrhage. A small bore is intended for nutritional feedings only and does not have suction capacity.