A nurse notices that the patient's stool is light, claycolored. The nurse suspects the patient
is not eating a wellbalanced diet.
is not drinking an adequate amount of fluids.
has a history of gastrointestinal (GI) bleeding.
may have gallstones obstructing the bile duct.
The Correct Answer is D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.
Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.
Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.
Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.
Correct Answer is A
Explanation
A. When the left descending colon and rectum are removed, a colostomy is typically created. This involves bringing the proximal end of the remaining colon to the surface of the abdomen to create a stoma. The colostomy allows the rest of the bowel to heal and function normally.
B.A continent ostomy involves creating an internal reservoir with a valve, allowing the patient to control the evacuation of intestinal contents. This option is less common and usually associated with continent ileostomies rather than temporary diversions to rest a portion of the colon.
C. A Kock pouch is a type of continent ileostomy where an internal reservoir is created from the ileum, and the patient can empty the reservoir with a catheter. This is not typically used as a diversion for healing purposes involving the colon.
D.An ileostomy involves bringing the end of the ileum (the last part of the small intestine) to the surface of the abdomen to create a stoma. Given that the left descending colon and rectum were removed, this procedure is unlikely unless the entire colon is bypassed or removed, which is not specified in this scenario.
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