A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?

You will have a stoma placed in your right lower abdomen.

The end of the stoma will be painful after this procedure.

You should expect your stoma to be a purple color.

You will have solid stool pass through your stoma.

Answer and Explanation

The Correct Answer is AANDD

Choice A rationale

An ileostomy involves creating a stoma, or opening, in the abdominal wall. The location of the stoma is typically in the right lower abdomen.

Choice B rationale

The end of the stoma should not be painful after the procedure. If the patient experiences pain, it could indicate a complication and should be reported to the healthcare provider.

Choice C rationale

The patient should not expect the stoma to be a purple color. A healthy stoma should be red or pink. A purple stoma could indicate a lack of blood flow, which is a serious issue that needs immediate medical attention.

Choice D rationale

After an ileostomy, the patient will have liquid or semi-liquid stool pass through the stoma. This is because the large intestine, which normally absorbs water and forms solid stool, is bypassed or removed in the procedure.

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Correct Answer is A

Explanation

A pale stoma can indicate poor blood flow, which is a serious concern that should be reported to the provider immediately. A healthy stoma should be moist and dark red or pink in color.

A. Purulent. B. Sanguineous. C. Serosanguineous. D. Serous.

Correct Answer is C

Explanation

Choice A rationale

Purulent drainage is thick and opaque. It can have a yellow, tan, green, or brown color and is a sign of infection.

Choice B rationale

Sanguineous drainage is bright red and indicates active bleeding3.

Choice C rationale

Serosanguineous drainage is typically pink-red and thin. It is made up of blood and serous fluid and is typically seen in a normal, non-infected wound3.

Choice D rationale

Serous drainage is clear and thin, like the fluid from a blister3.

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A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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