A nurse is reinforcing teaching about ileostomy care with a client. The nurse should recognize which of the following statements by the client indicates a need for further teaching?

"I will be certain to take enteric-coated medications."

"I will empty my pouch when it becomes one third full."

"I will change my entire pouch system at least weekly."

"I will use caution when eating high fiber foods."

Answer and Explanation

The Correct Answer is A

A.   Enteric-coated medications are designed to dissolve in the small intestine rather than the stomach. This is important for ileostomy patients because medications that dissolve in the stomach may be poorly absorbed or can cause irritation to the stoma or the small intestine.
B.   It's recommended to empty the ostomy pouch when it's about one-third to half full to prevent leakage or discomfort.
C.   How often the pouch system needs to be changed can vary depending on individual factors such as skin sensitivity, output consistency, and the type of pouch system used. Generally, changing the pouch system every 3-7 days is recommended.
D.   High fiber foods can increase stool output and gas production, which can be challenging for individuals with an ileostomy. However, fiber is important for overall digestive health, so moderation rather than avoidance is typically recommended.

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Correct Answer is A

Explanation

A. This statement demonstrates an understanding that consuming yogurt can potentially help reduce the odor associated with gas. Yogurt contains probiotics, which can promote digestive health and possibly reduce the intensity of gas odors. This is a reasonable approach for managing symptoms related to colostomy.
B. Carbonated beverages are not typically recommended for controlling odor related to a colostomy. In fact, carbonated drinks can sometimes increase gas production and may exacerbate gas-related symptoms. Therefore, this statement does not indicate an appropriate understanding of dietary management for a colostomy.
C. Pasta and other starchy foods like rice and bread are generally well-tolerated and can help thicken stool consistency, which may be beneficial for individuals with a colostomy. Therefore, eliminating pasta from the diet is not necessary and does not reflect an accurate understanding of dietary recommendations post-colostomy.
D. Distributing meals evenly throughout the day is generally recommended to promote balanced nutrition and manage digestion. There is no specific requirement that the largest meal must be in the evening. This statement does not directly relate to dietary management specific to colostomy care.

A. Gelatin B. Shellfish C. Yeast D. Eggs

Correct Answer is B

Explanation

A. Gelatin is derived from collagen obtained from various animal body parts. It is commonly used in medications, including some capsules and intravenous (IV) preparations. It has no association with cardiac catheterization procedure.
B. This is because the contrast dye used during the procedure typically contains iodine, which can cause an allergic reaction in susceptible individuals.
C. Yeast allergies are reactions to proteins found in yeast, commonly used in baking and brewing and sometimes present in vaccines and medications. However, it has no association with cardiac catheterization procedure.
D. Egg allergies involve reactions to proteins found in eggs and can be present in vaccines, some medications, and some foods. However, it has no association with cardiac catheterization procedure.

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A nurse is reinforcing teaching about ileostomy care with a client. The nurse should recognize which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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