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 D
Explanation
Choice A Changing the faceplate every 3 to 5 days might be necessary for some individuals with specific needs, but it is not the typical frequency for most colostomy patients.
Choice B Changing the faceplate every 1 to 3 days is too frequent for most colostomy patients and might lead to unnecessary waste and discomfort.
Choice C Changing the faceplate every 2 to 3 days is still relatively frequent and might not be necessary for most colostomy patients.
Choice D Changing the faceplate every 4 to 7 days is the usual recommendation for colostomy patients, as it allows for sufficient wear time while minimizing the frequency of changes.
Correct Answer is D
Explanation
Choice A Stool with worms would present as visible worms or worm segments in the stool and not pus.
Choice B Occult blood refers to blood that is not visible to the naked eye and is not related to the presence of pus in the stool.
Choice C Pus in the stool is not considered a normal stool characteristic.
Choice D The presence of pus in the stool may indicate inflammation or infection in the gastrointestinal tract, potentially from conditions such as inflammatory bowel disease (IBD) or infection.
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