Author Question: A nurse is documenting the appearance of feces from a client with a permanent ileostomy. Which of ... (Read 34 times)

HudsonKB16 · **on:** Jul 23, 2018

A nurse is documenting the appearance of feces from a client with a permanent ileostomy. Which of the following would she document?

A) Ileostomy bag half filled with liquid feces.
B) Ileostomy bag half filled with hard, formed feces.
C) Colostomy bag intact without feces.
D) Colostomy bag filled with flatus and feces.

Question 2

Which is an expected outcome for a client undergoing a bowel training program?

A) Have a soft, formed stool at regular intervals without a laxative.
B) Continue to use laxatives, but use one less irritating to the rectum.
C) Use oil-retention enemas on a regular basis for elimination.
D) Have a formed stool at least twice a day for two weeks.

jasonq · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
The client with an ileostomy (temporary or permanent) has an opening into the small intestine. Because feces do not reach the large intestine, water is not absorbed, and the feces will be liquid.

Answer to Question 2

Ans: A
Clients who have chronic constipation and impaction, and those who are incontinent of stool, may benefit from a bowel training program. The purpose of this program is to manipulate factors within the client's control (such as exercise or fluid intake) to produce the elimination of a soft, formed stool at regular intervals without a laxative.