A nurse is teaching a client who is preoperative for a sigmoid colostomy.
Which of the following statements should the nurse include?
Your colostomy will not produce formed stool.
The end of the stoma will be painful after this procedure.
You should expect your stoma to be a purple color.
You will have a stoma in your left lower abdomen.
The Correct Answer is D
Choice A rationale
A sigmoid colostomy usually produces stool that is more formed compared to an ileostomy. This is because the colostomy is created from the sigmoid colon, where water absorption occurs.
Choice B rationale
The stoma should not be painful after the procedure. Pain may indicate complications, and the stoma itself lacks nerve endings.
Choice C rationale
The stoma should be a bright red or pink color, indicating good blood supply. A purple color could suggest ischemia or poor blood flow.
Choice D rationale
A sigmoid colostomy is typically located in the left lower abdomen because the sigmoid colon is situated in this area of the body.
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Correct Answer is B
Explanation
Choice A rationale
Placing the client into a right lateral position is not the standard position for administering an enema. The left lateral (Sims') position is commonly used as it facilitates the flow of the
solution into the colon.
Choice B rationale
Warming the enema solution to room temperature helps ensure the client's comfort and can prevent cramping and discomfort. Cold solutions can cause discomfort and cramping,
making the procedure less tolerable for the client.
Choice C rationale
Sterile technique is not required for administering an enema. Clean technique is generally sufficient unless otherwise indicated by the client’s condition or specific medical orders.
Choice D rationale
Lubricating the tubing is essential to ensure smooth insertion and prevent trauma to the rectal mucosa, but an oil-based lubricant is not typically used as it can interfere with the
absorption of the enema solution. Water-soluble lubricants are preferred.
Correct Answer is D
Explanation
Choice A rationale
Fresh vegetables do not typically cause bladder irritation. In fact, they are often recommended for a healthy diet and can help with overall bodily functions.
Choice B rationale
Red meat is not commonly associated with bladder irritation. However, consuming it in excessive amounts may have other health implications.
Choice C rationale
Dairy products are not known to cause bladder irritation. They can be a part of a balanced diet unless there is an individual intolerance or allergy.
Choice D rationale
Caffeinated beverages, such as coffee, tea, and some sodas, can irritate the bladder and increase the frequency and urgency of urination. This is due to the diuretic effect of caffeine, which stimulates bladder activity.