Question 32 type mcma what information should the

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Understanding Nutrition: Dietary Guidelines Update
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Chapter SIT / Exercise 16
Understanding Nutrition: Dietary Guidelines Update
Rolfes/Whitney
Expert Verified
Question 32 Type: MCMA What information should the nurse provide for the patient with a newly created Kock ileostomy (continent ileostomy)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The stoma will be reversed when the bowels have had the time to heal. 2. Fecal matter will be removed by a catheter inserted through the stoma. 3. A nipple valve was created to control the flow of fecal matter. 4. The stoma should appear pink and moist. 5. The surgery involved manipulating a portion of the terminal ileum. Correct Answer: 2,3,4,5
Rationale 1 : This is not generally a reversible, temporary procedure.
We have textbook solutions for you!
The document you are viewing contains questions related to this textbook.
Understanding Nutrition: Dietary Guidelines Update
The document you are viewing contains questions related to this textbook.
Chapter SIT / Exercise 16
Understanding Nutrition: Dietary Guidelines Update
Rolfes/Whitney
Expert Verified
Rationale 2 : The reservoir is emptied by a catheter inserted through the stoma. Rationale 3 : The nipple valve prevents leaking of fecal contents through the stoma. Rationale 4 : As in any ostomy procedure, the stoma should appear pink and moist. Rationale 5 : A continent ileostomy, also known as Kock ileostomy or Kock pouch, involves folding the terminal ileum back on itself and removing the inner wall, thereby forming a reservoir and a nipple valve. The end is then brought through the abdominal wall to form a stoma. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 37-6 Question 33 Type: MCSA A patient with Crohn’s disease is demonstrating the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements . What intervention should the nurse include in this patient’s plan of care? 4
Global Rationale: Cognitive Level: Applying
Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 37-4

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