The nurse is instructing a client on ostomy care. What should be ...

[vicky]

The nurse is instructing a client on ostomy care. What should be included in this teach?
 
  1. Change the drainage pouch daily.
  2. Clothing of a special style will be needed now that a pouch is worn.
  3. Stick a pin into the drainage pouch to relieve any gas buildup.
  4. Secure the faceplate to the drainage pouch so no skin around the stoma is exposed.

Question 2

A client has a bowel movement of hard, dry, but formed stool. The nurse associates these characteristics with:
 
  1. Bowel incontinence
  2. Constipation
  3. Diarrhea
  4. Fecal impaction

[adammoses97]

Answer to Question 1

Correct Answer: 4
Rationale 1: The drainage pouches are expensive, and they can be used up to a week before being changed. Just daily rinsing and cleaning is necessary.
Rationale 2: No special clothing has to be worn with a colostomy pouch. The client can wear the same clothes he had prior to his surgery.
Rationale 3: If a pin is stuck into the pouch, a hole will be left and it will cause leakage, which is not recommended.
Rationale 4: The skin around a stoma is very susceptible to irritation and breakdown. To avoid skin irritation, the faceplate to the drainage pouch needs to fit close enough to the stoma so as not to expose any other skin.

Answer to Question 2

Correct Answer: 2
Rationale 1: Bowel incontinence is the loss of voluntary ability to control feces.
Rationale 2: Hard, dry, formed stool is characteristic of constipation.
Rationale 3: Diarrhea is the passage of liquid feces.
Rationale 4: Fecal impaction is a mass of hardened feces in the folds of the rectum.