The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

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.

The correct answer is choice b. Ascending colon.

Choice A rationale:

The sigmoid colon is the last part of the large intestine before the rectum. By this stage, the stool is usually well-formed as most water has been absorbed.

Choice B rationale:

The ascending colon is the first part of the large intestine where the stool is least formed. This is because it is the initial stage of the large intestine where water absorption begins, so the stool is still relatively liquid.

Choice C rationale:

The descending colon is further along the digestive tract, where more water has been absorbed, making the stool more formed compared to the ascending colon.

Choice D rationale:

The transverse colon is between the ascending and descending colons. While the stool here is more formed than in the ascending colon, it is less formed than in the descending and sigmoid colons.