NR 443 CHAPTER 26: THE PATIENT WITH AN OSTOMY | VERIFIED SOLUTION

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. Which term appropriately defines an artificial opening into a body cavity? a. Gastrostomy b. Ostomy c. Colonoscopy d. Ureterostomy . Why is a patient who has undergone a colostomy instructed to... measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? a. The stoma will shrink during this time. b. A poor-fitting pouch will cause infection of the stoma. c. The paste will not adhere. d. Prolapse will result. . A 47-year-old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery. Which assessment should the nurse report and record? a. Vital signs are temperature, 100° F; pulse, 92 beats/min; and blood pressure, 160/98 mm Hg. b. Stoma is swollen and red; small amount of blood is observed at the base. c. Pouch has drained 110 mL of green-brown liquid, oozing from the pouch edges. d. Stoma is protruding. . A nurse is aware that many patients with ostomies have an altered self-image. What might this cause? a. Self-care deficits b. Sexual dysfunction c. Nonadherence to diet d. Irrational anger . What should a nurse instruct the patient to do to ensure a good fit of the appliance to avoid leakage? a. Place the pouch only when lying down. b. Check pouch placement to ensure a firm seal. c. Confirm that the pouch fits tightly to the edges of the stoma. d. Confirm that the pouch covers the entire abdomen. What should a nurse suggest to a patient with a colostomy choose when selecting an appropriate diet to reduce excess gas or diarrhea? a. Roast beef, mashed potatoes, and peeled stewed tomatoes b. Broiled pork chop, boiled potato, and corn on the cob c. Broiled trout, mashed potatoes, and spinach d. Barbeque pork on a white bun, coleslaw, and French fries [Show More]

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