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1. Question
The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate postoperative period for which most frequent complication of this type of surgery?
Correct
Answer & Rationale:
Option 4 is Correct:
Rationale: A frequent complication that occurs following ileostomy is fluid and electrolyte imbalance. The client requires constant monitoring of intake and output to prevent this from occurring. Losses require replacement by intravenous infusion until the client can tolerate a diet orally. Intestinal obstruction is a less frequent complication. Fat malabsorption and folate deficiency are complications that could occur later in the postoperative period.
Incorrect
Answer & Rationale:
Option 4 is Correct:
Rationale: A frequent complication that occurs following ileostomy is fluid and electrolyte imbalance. The client requires constant monitoring of intake and output to prevent this from occurring. Losses require replacement by intravenous infusion until the client can tolerate a diet orally. Intestinal obstruction is a less frequent complication. Fat malabsorption and folate deficiency are complications that could occur later in the postoperative period.
Kock ileostomy (continent ileostomy)
The Kock ileostomy is an intra-abdominal pouch that stores the feces and is constructed from the terminal ileum.
The pouch is connected to the stoma with a nipple-like valve constructed from a portion of the ileum; the stoma is flush with the skin.
A catheter is used to empty the pouch, and a small dressing or adhesive bandage is worn over the stoma between emptyings.
