PPC Exam G.I

Ileostomy Care

Measure stoma with each pouch change—stoma shrinks during healing.

Nursing Assistants can:

Empty ostomy bag & Clean around a healed stoma

Nursing Assistants cannot:

Replace appliance on a new ostomy

Foul-smelling urine?

Assess hydration first.

Increased watery output?

Assess for dehydration & electrolyte imbalance.

Maintain hydration.

Proper chewing and hydration are key to preventing ileostomy blockage

If aspiration occurs…

Stop feeding immediately and assess respiratory status.

Monitor blood glucose regularly.

Clients with diabetes

Ileostomy output:

liquid; higher risk for fluid/electrolyte imbalance.

Diet

Avoid excessive calcium & High-protein diets do not improve urostomy health.

Improper Appliance Fit

Causes skin irritation or breakdown

What is the minimum volume of water to prevent clotting

15mL

What is the nurse's priority action when a client with diabetes has a feed?

Monitor blood glucose

Which of the following is a critical new step then preventing infection to the stoma?

Applying a protective barrier film to the skin

Which of the following practices is needed for care and maintenance of a newly placed ostomy?

Cleaning stoma with soap and water / assessing for potential skin break down / Use odor eliminating spray for client/ record observations

A patient is experiencing leakage from ostomy

get a wound nurse to come check it out

What nursing action is priority when assessing a client with a new ileostomy reporting an increased watery output?

 Assess for signs of dehydration

A client with a urostomy reports smelly urine. What should the nurse assess first?

If the client is hydrating well

A client with a illiostomy reports dehydration. Which nursing intervention is the most important

Advise oral rehydration solution.

Which dietary recommendation should the nurse make to a client with a urostomy to maintain urinary system health?

Consume adequate fluids to prevent infection

How often to change Ileostomy care if leaking?

3-5 days