The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?
"I can still participate in physical activities and exercise with an ileostomy."
"I should empty the pouch when it is about two-thirds full."
"I should apply adhesive remover to the skin around the stoma when changing the pouch."
"I can eat all my favorite foods now that I have an ileostomy."
The Correct Answer is D
A. This is an appropriate statement. Most patients with an ileostomy can resume physical activities and exercise, though they should be mindful of their stoma and pouch during activities.
B. This is a correct statement. The pouch should be emptied when it is about one-third to one-half full to prevent it from becoming too heavy or causing skin irritation.
C. This is also correct. Adhesive remover can be used to gently remove the pouch and adhesive, preventing irritation to the skin around the stoma.
D. This statement indicates a need for more teaching. While many foods can be eaten after an ileostomy, some foods may cause blockages or discomfort (e.g., nuts, seeds, and high-fiber vegetables). Patients need to be educated on dietary modifications and precautions post-ileostomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Strictureplasty is a surgical procedure, not a non-surgical procedure. It is used to treat strictures by widening them, typically in the gastrointestinal tract.
B. Strictureplasty does not remove strictures but rather works to widen or repair the narrowed areas, allowing for improved passage through the affected part of the gastrointestinal tract.
C. Strictureplasty is not used to repair fractures in bones. It is specifically used in the gastrointestinal system to treat strictures.
D. Strictureplasty is commonly performed in the treatment of Crohn's disease, particularly in cases where the disease causes strictures in the intestines. It is a procedure that can help maintain the integrity of the intestine by widening narrowed areas without the need for resection.
Correct Answer is ["A","C","D","E"]
Explanation
A. Serum phosphorus is crucial to monitor in patients at risk for refeeding syndrome. Hypophosphatemia is a key sign of the syndrome and can lead to severe complications, such as respiratory failure and cardiac arrhythmias.
B. Serum blood glucose levels are important to monitor, especially since refeeding syndrome can cause rapid shifts in glucose metabolism. However, it is not a primary test to diagnose refeeding syndrome. Blood glucose monitoring will be part of the overall management, but not the core test for the syndrome.
C. Serum calcium should be monitored because it can also decrease in refeeding syndrome due to shifts in phosphate and magnesium levels, which may affect calcium metabolism.
D. Serum potassium is essential to monitor because hypokalemia often occurs in refeeding syndrome as the body shifts electrolytes into cells. This can cause muscle weakness, arrhythmias, and other serious complications.
E. Serum magnesium is also important to check, as hypomagnesemia is commonly seen in refeeding syndrome and can contribute to neurological and cardiac symptoms.
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