NCLEX Quiz # 981

NCLEX Examination.

Practice Question # 981.

nclex quiz

 

ileostomy: surgical opening into the ileum by means of a stoma to allow drainage of bowel contents; one type of fecal diversion.

An ileostomy, the surgical creation of an opening into the ileum or small intestine (usually by means of an ileal stoma on the abdominal wall), is commonly performed after a total colectomy (ie, excision of the entire colon). It allows for drainage of fecal matter (ie, effluent) from the ileum to the outside of the body. The drainage is very mushy and occurs at frequent intervals. Nursing management of the patient with an ileostomy is discussed in a later section of this chapter.

Total Colectomy With Continent Ileostomy. Another procedure involves the removal of the entire colon and creation of the continent ileal reservoir (ie, Kock pouch). This procedure eliminates the need for an external fecal collection bag. Approximately 30 cm of the distal ileum is reconstructed to form a reservoir with a nipple valve that is created by pulling a portion of the terminal ileal loop back into the ileum. GI effluent can accumulate in the pouch for several hours and then be removed by means of a catheter inserted through the nipple valve. The major problem with the Kock pouch is malfunction of the nipple valve, which occurs in about 20% of the patients

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