A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

"Your colostomy will not produce formed stool."

"You should expect your stoma to be a purple color."

"The end of the stoma will be painful after this procedure."

"You will have a stoma in your left lower abdomen."

Answer and Explanation

The Correct Answer is D

A. "Your colostomy will not produce formed stool." A sigmoid colostomy is located in the lower part of the large intestine where stool is typically more formed. Therefore, this statement is incorrect and should not be included in the teaching.

B. "You should expect your stoma to be a purple color." A healthy stoma should be pink or red and moist. A purple, dusky, or dark color may indicate compromised blood flow to the stoma and is a sign of a medical emergency. This statement is incorrect.

C. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. Pain around the incision site may occur, but the stoma itself should not be painful. This statement is incorrect.

D. "You will have a stoma in your left lower abdomen." The sigmoid colon is located on the lower left side of the abdomen, so the stoma for a sigmoid colostomy is typically placed in this area. This statement is correct.

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Correct Answer is A

Explanation

A. "Increase your daily fluid intake." Increasing fluid intake can help soften the stool, making it easier to pass and reducing constipation.

B. "Try to defecate at different times of the day." Establishing a regular time each day for bowel movements can help train the bowel and prevent constipation.

C. "Consume a low-fiber diet." A low-fiber diet can worsen constipation. A high-fiber diet is recommended to add bulk to the stool and promote regular bowel movements.

D. "Reduce your daily activity." Regular physical activity helps stimulate bowel motility and can reduce the likelihood of constipation.

A. Apply friction when drying the client's skin. B. Use soap to clean the client's skin. C. Apply a barrier cream to the client's skin. D. Use hot water to clean the client's skin.

Correct Answer is C

Explanation

A. Apply friction when drying the client's skin. Friction can damage the skin, especially in clients with incontinence who are at risk for skin breakdown.

B. Use soap to clean the client's skin. Soap can be drying and irritating to the skin. pH-balanced cleansers are preferred to maintain skin integrity.

C. Apply a barrier cream to the client's skin. Barrier creams protect the skin from moisture, reducing the risk of skin breakdown and irritation from incontinence.

D. Use hot water to clean the client's skin. Hot water can dry out and damage the skin. Warm water should be used instead to gently clean the skin.

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A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

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