The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

A 40yearold patient with an ileostomy

A 70yearold patient with incontinence

A 30yearold patient with C. difficile

A 25yearold patient with Crohn's disease

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

No explanation

A. "I should never attempt to reach into my stoma to remove fecal material." B. "Using warm enema will reduce cramping and discomfort during the procedure." C. "To properly irrigate and clean my ostomy stoma, I can use any solution that is convenient." D. "Sitting on the toilet lets the ostomy bag and irrigant drain into the toilet bowl."

Correct Answer is C

Explanation

Choice A This statement is correct, as patients should never attempt to insert anything into the stoma to remove fecal material.

Choice B This statement is also correct, as using warm water for irrigation can help reduce discomfort and cramping during the procedure.

Choice C This statement is incorrect. Patients should use only the irrigation solution recommended by their healthcare provider, as using the wrong solution can lead to complications or damage to the stoma.

Choice D This statement is correct, as sitting on the toilet allows the ostomy bag and irrigation solution to drain directly into the toilet, making the procedure more convenient.

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The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

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Explanation

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