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14. The nurse explains which advantage benefits patients with a Kock pouch ileostomy? a. The patient can expel feces from the rectum in the normal fashion.b. The patient does not have to wear a collection device.c. The patient only has to evacuate the pouch once a day.d. The patient can have the pouch reanastomosed to the colon at a later time.ANS: B The major advantage of the Kock pouch is that the patient does not have to wear a collection device. The feces are collected in the pouch and emptied by the patient inserting a catheter into the pouch every 3 or 4 hours.PTS: 1 DIF: Cognitive Level: Comprehension REF: 678 OBJ: 15 TOP: Ileostomy: Kock Pouch KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 15. The nurse is caring for a patient 1-day postoperative after a transverse colostomy. When assessing the stoma, which finding requires the nurse’s immediate action?MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
NURSINGTB.COMPTS: 1 DIF: Cognitive Level: Application REF: 685 OBJ: 15 TOP: Stoma: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease16. The nurse is caring for a patient with a 4-day-old ileostomy. The patient complains of cramping, the nurse notes a drop in the effluent for the ileostomy, and the bowel sounds are rapid with a “tinkling” sound. What action should the nurse take?PTS: 1 DIF: Cognitive Level: Application REF: 686 OBJ: 15 (theory) TOP: Ileostomy: Obstruction KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance