Prepare: Bowel Diversion Surgeries

What is an Ostomy?

• A surgically created temporary or permanent opening is called an ostomy. The intestine is then brought to the abdominal wall and stool is passed out of the body through the stoma.

Identifying Different Colostomies

• The nurse cares for a client with an ostomy. Using the image above, identify in which ostomy location the nurse can expect formed stool to be present? Select all that apply.

Care of an Ostomy

• Which of the following ostomy supplies is pictured above?

Self-Check: Abdominal Assessment

• Place the steps for abdominal assessment in the correct order:

Self-Check: Crohn’s and Colorectal Cancer

• Crohn’s disease is an inflammatory bowel disease that causes severe Diarrhea, abdominal pain, fatigue, and weight loss. Colorectal cancer is found inabnormal growth called Polyps in the large intestive and rectum.

Self-Check: Location of Ostomy

• Using the image above, identify where you would expect to find a colostomy with liquid stool.

Self-Check: Changing the Pouching System

• Which statement indicates a need for more client teaching about how to change a pouching system for an ostomy? Select all that apply.

Self-Check: Developmental Considerations

• Match the developmental consideration with the correct age group.

Reflect: Bowel Diversion Surgeries

Identifying Bowel Status

• Which of the following factors influence bowel elimination? Select all that apply.

Crohn's Disease

• Those patients with Crohn's disease have an increased risk for which other disease?

Colorectal Cancer

• During a colonoscopy, the physician found abnormal structures in the intestine that should be tested for cancer. What are these abnormal findings called?

Purpose of Ostomies

• Select the letter corresponding to the area in the image where an ileostomy would be placed.

Type of Ostomy Stool

• Clients with an ileostomy are at risk for dehydration and electrolyte imbalance because they will always have liquid stool.

Proper Care of an Ostomy

• Shortly after surgery, the client has the new stoma below. What actions should the nurse take?

Ostomy Diet

• A nurse is assisting a client with a new ostomy to make proper dietary choices. Which menu option should the nurse recommend?

Lifespan or Cultural Considerations

• Which of these statements is accurate in describing the concerns of clients with ostomies?

Nursing Application for Bowel Elimination

Nursing Application for Bowel Elimination

Bowel Elimination Definition

• Intestine that is opened and pulled outside the abdominal wall for the purpose of defecation is called a stoma.

Factors Affecting Bowel Elimination

• Which of the following are factors that affect bowel elimination? Select all that apply.

Nursing Process and Clinical Judgment

• The nurse is collecting subjective and objective data from the client. What part of the nursing process is this?

Self-Check: Recognizing Cues

• Review the scenario below. Select the findings that require immediate follow up?

Self-Check: Analyzing Cues and Forming Hypotheses

• The nurse analyzed and formulated a nursing diagnosis based on the assessment findings. Drag and drop the correct diagnosis that matches the etiology (cause).

Self-Check: Generating Solutions

Generating Solutions

• The nurse wants to have John view his stoma and participate in self-care. Which of the following solutions could assist John in meeting this outcome?

Self-Check: Implementing

Take Action

• Select the nursing interventions used in implementing the plan. Select all that apply.

Self-Check: Evaluation of Outcomes

Evaluation of Outcomes

• Match the statement that shows the outcome was met.

Reflect: Nursing Application for Bowel Elimination

• Identify the assessment findings that require immediate follow-up.

Analyzing Cues

• Click on the diagnoses that are related to a client with an ostomy.

Prioritize Hypotheses/Generate Solutions

• John’s plan of care identified the following nursing diagnoses:
• The nurse selected Disturbed Body Image as the priority diagnosis. Which diagnosis should the nurse address next?
• John continues to ask what foods he can eat with an ostomy? This cue would indicate a problem with which of the following?

Priority

• The nurse is doing client teaching with John regarding stoma self-care. Which finding would the nurse teach John to seek immediate attention?

Actions

• The client is to perform ostomy self-care. Independence in self-care helps improve Acceptance of the situation. The nurse needs to help promote the client’s Sense of control as it enhances Self-confidence.
• John stated, “My friend is having a pool party and I am unsure how to deal with it.” Which of the following statements from the nurse displays effective therapeutic communication?

Outcomes

• Which of the following outcomes is appropriate for a patient with a knowledge deficit about ostomy care?