A nurse explains to a patient that when a bowel diversion is brought to the outside of the body through the abdominal wall, the new opening is called an ostomy, and the mouth of the ostomy is called a
The Correct Answer is {"dropdown-group-1":"D"}
When a bowel diversion is created surgically to bring a portion of the intestine or bowel to the outside of the body through the abdominal wall, it forms an opening known as an ostomy. This procedure is performed to allow feces or intestinal contents to be eliminated through this new opening, bypassing the usual route of passing through the rectum and anus.
The actual opening or mouth of the ostomy, through which waste material exits the body, is called a "stoma." The stoma is created by suturing the end of the bowel to the skin of the abdominal wall, and it appears as a small, pinkish or reddish, moist protrusion on the skin surface.
There are different types of ostomies, depending on the location in the gastrointestinal tract where the diversion is made. The most common types include:
Colostomy: The stoma is created from the colon (large intestine).
Ileostomy: The stoma is created from the ileum (the last part of the small intestine).
Urostomy: The stoma is created from the urinary system, diverting urine from the bladder.
The stoma serves as a new pathway for waste elimination and requires special care and management, which is typically taught to the patient by healthcare professionals, including nurses, to ensure proper stoma care and adaptation to living with an ostomy.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A colostomy is a surgical procedure in which a portion of the colon is brought through the abdominal wall to create a stoma. This type of bowel diversion is typically done when part of the large intestine needs time to heal or has been removed. In the case described, where a portion of the large intestine was removed, a colostomy would be appropriate to divert the feces from the healing area.
B. A continent ostomy refers to a bowel diversion that allows the patient to control the passage of stool through an internal reservoir created surgically. Patients empty the reservoir by catheterizing a stoma. This procedure is not typically performed for short-term bowel rest.
C. A Kock pouch is a specific type of continent ileostomy where a portion of the ileum is used to create a reservoir. The patient empties this reservoir via a catheter through a stoma. This option is usually considered for patients with total removal of the colon and is not commonly used when only a portion of the colon is removed.
D. An ileostomy is a surgical procedure in which the ileumis brought through the abdominal wall to form a stoma. It’s used when the entire colon is removed or bypassed. In the scenario described, since the large intestineis affected, a colostomy would be the correct term.
Correct Answer is C
No explanation
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