A patient with Crohn's disease underwent a procedure to remove a portion of the large intestine. The distal portion of the colon was removed, allowing it time to rest and heal. A nurse identifies that this type of bowel diversion is known
Colostomy.
Continent ostomy.
Kock pouch.
Ileostomy.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: A stool softener is the best option to try first for a patient with constipation as it helps to soften the stool, making it easier to pass.
Choice B: Soap suds enemas are used to promote bowel movements, but they are more invasive and can cause discomfort. Stool softeners should be tried before resorting to enemas.
Choice C : Suppositories can also help with constipation, but they are generally not the first option to try. Stool softeners are milder and more suitable initially.
Choice D: While mineral oil enemas can provide lubrication to facilitate bowel movements, stool softeners are generally preferred for their milder action.
Correct Answer is C
Explanation
Choice A A pale blue stoma may indicate a lack of blood supply (ischemia) to the stoma, which is concerning but not as immediately critical as fecal contamination.
Choice B A continuous draining stoma is normal, and there is no indication of an urgent issue in this scenario.
Choice C This patient should be seen first and made a priority as fecal contamination of the stoma can lead to skin irritation, infection, and complications. Immediate cleaning and appropriate care are necessary.
Choice D A beefy red, moist stoma is a healthy stoma appearance and does not indicate an urgent issue.
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