Difficulty: Medium
Average Score: 74%
Simulated
A nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should recognize that the teaching has been effective when the client states,
Correct answer
B
Rationale
Correct Answer: B: My stoma will drain liquid fluid continuously.
Rationale: The correct answer is B because an ileostomy typically drains liquid stool continuously due to the location in the small intestine where liquid waste is collected. This statement indicates an understanding of the expected output from the stoma.
Incorrect Choices:
A: My stoma size will stay the same, even after it has healed - Incorrect as the stoma size may change during the healing process.
C: I will change my pouch system every 2 weeks - Incorrect as pouch systems need to be changed more frequently, usually every few days to prevent leakage and skin irritation.
D: I will ensure that my medications are enteric coated - Incorrect as this statement does not directly relate to stoma care and management.
Rationale: The correct answer is B because an ileostomy typically drains liquid stool continuously due to the location in the small intestine where liquid waste is collected. This statement indicates an understanding of the expected output from the stoma.
Incorrect Choices:
A: My stoma size will stay the same, even after it has healed - Incorrect as the stoma size may change during the healing process.
C: I will change my pouch system every 2 weeks - Incorrect as pouch systems need to be changed more frequently, usually every few days to prevent leakage and skin irritation.
D: I will ensure that my medications are enteric coated - Incorrect as this statement does not directly relate to stoma care and management.