Urinary Stoma Care Quiz: Changing Appliances and Cystectomy Recovery

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Questions and Answers

How should a nurse position a constipated client for digital removal of stool?

Left lateral side-lying position (correct)

Prone position

Right lateral side-lying position

Lithotomy position

What intervention should a nurse perform when irrigating a client’s sigmoid colostomy?

Instilling 500 to 1000 mL of lukewarm tap water through the stoma

Hanging the irrigation solution so that the bottom of the bag is 18 inches above the client’s torso

Advising the client to hold the breath if cramping occurs during instillation of the solution (correct)

Inserting the irrigation tube with a small amount of force and a twisting motion into the stoma and unclamping the tubing to allow the solution to flow into the stoma

When should a urinary stoma collection bag be changed according to best practice?

When it is completely full to avoid leakage

When it is empty to prevent overfilling

When it is half full to ensure proper adhesion

When it is one-third full to prevent pulling of the appliance and leakage (correct)

What would be the best recommendation for a client with a urinary stoma regarding changing the appliance?

Change it every 5 to 7 days for proper care Signup and view all the answers

What is an essential step when inserting an irrigation tube for a sigmoid colostomy?

Using minimal force during insertion to prevent injury Signup and view all the answers

Why is it important to hang the irrigation solution 18 inches above the client’s torso during sigmoid colostomy irrigation?

To ensure proper infusion of the solution into the stoma Signup and view all the answers

What is the most appropriate action for the nurse to take when assessing a client with bladder cancer and ureterostomy?

Assess the stoma for a purple discoloration. Signup and view all the answers

What should be the nurse's priority action when caring for a client with ulcerative colitis and a transverse colostomy?

Monitoring for a purple discoloration of the stoma. Signup and view all the answers

What interpretation should the nurse provide for malodorous flatus passing from the stoma in a client who recently had a colostomy created?

It signifies early signs of ischemic bowel. Signup and view all the answers

Which complication should the nurse prioritize assessing for in a client with Crohn's disease post-ileostomy creation surgery?

Intestinal obstruction Signup and view all the answers

What should be included in the education plan for a client with bladder cancer and ureterostomy regarding stoma care?

Empty the urinary collection bag when it is half full. Signup and view all the answers

When caring for a client with ulcerative colitis and a transverse colostomy, what observation indicates proper adaptation to the stoma?

Visible semiformed stool in the ostomy pouch. Signup and view all the answers

What color of a urinary stoma is associated with ischemia?

Purple Signup and view all the answers

Which observation requires immediate surgeon notification?

Purple discoloration of the stoma Signup and view all the answers

What does a beefy red and shiny stoma indicate?

Normal and expected Signup and view all the answers

Which statement does not require as immediate attention as purple discoloration of the stoma?

Semiformed stool is a normal finding Signup and view all the answers

What color is NOT associated with ischemia of a urinary stoma?

Beefy red Signup and view all the answers

In the care of a urinary stoma, which finding indicates the need for immediate surgeon notification?

Dusky color of the stoma Signup and view all the answers

What is the most ideal time to change the appliance for a client with a urinary diversion?

Morning Signup and view all the answers

How often should the pouch of a urinary diversion be changed?

Every 5-7 days Signup and view all the answers

What is the recommended method to clean the stoma for a client with a urinary diversion?

Nonresidue soap and water Signup and view all the answers

How much larger than the stoma should the skin barrier be cut for a urinary diversion?

3 millimeters larger Signup and view all the answers

Why should clients with urinary diversions be encouraged to take slow, deep breaths if cramping occurs?

To alleviate discomfort and promote relaxation Signup and view all the answers

What are urinary diversions and stomas usually related to in terms of health problems?

Gastrointestinal disorders Signup and view all the answers

Which position is ideal for digital removal of stool based on the text?

Left lateral sidelying position Signup and view all the answers

What type of catheter is necessary for continuous bladder irrigation, as mentioned in the text?

Triple-lumen catheter Signup and view all the answers

In which position should the client be placed for digital removal of stool?

Right lateral sidelying position Signup and view all the answers

What is the primary function of a triple-lumen catheter used for continuous bladder irrigation?

Facilitates irrigation solution instillation Signup and view all the answers

Which nursing process is involved in determining the correct position for digital removal of stool?

Assessment Signup and view all the answers

What is the main reason for using a left lateral sidelying position for digital removal of stool?

Follows the anatomical curvature of the colon Signup and view all the answers

Study Notes

Positioning for Digital Removal of Stool

For digital removal of stool, the client should be positioned in the left lateral side-lying position, which follows the anatomical curvature of the colon.

Irrigating a Sigmoid Colostomy

To irrigate a sigmoid colostomy, the nurse should plan to instill 500 to 1000 mL of lukewarm tap water through the stoma.
The nurse should hang the irrigation solution so that the bottom of the bag is 18 inches above the client's torso.
The nurse should insert the irrigation tube with a small amount of force and a twisting motion into the stoma and unclamp the tubing to allow the solution to flow into the stoma.

Changing a Urinary Collection Bag and Appliance

The urinary collection bag needs to be changed when it is one-third full to prevent pulling of the appliance and leakage.
The client should clean the stoma with both non-residue soap and water, not just water.
The skin barrier should be cut no more than 3 millimeters larger than the stoma to prevent urine leakage and irritation of the exposed skin.
The pouch needs to be changed every 5 to 7 days.

Care of a Urinary Diversion

The client should be educated on the proper care of the urinary stoma, including cleaning the stoma with non-residue soap and water, and changing the appliance and pouch regularly.
The client should be advised to change the appliance in the morning, not at night.
The client should empty the urinary collection bag when it is one-third full.

Care of a Client with a Colostomy

A beefy red and shiny stoma is normal and expected.
Purple discoloration of the stoma indicates ischemia and requires immediate attention from the surgeon.
Skin excoriation around the stoma needs to be addressed and treated.
Semiformed stool is a normal finding in the ostomy pouch.

Complications of Ileostomy Surgery

The most frequent complication of ileostomy surgery is intestinal obstruction.
Other complications may include folate deficiency, malabsorption of fat, and electrolyte imbalances.

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Description

Test your knowledge on urinary stoma care and nursing interventions with these practice questions. Evaluate your understanding of post-cystectomy care and client education. Get ready for your nursing exams with this quiz!

Elimination 25-23 Practice Questions MS1 ex 2

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