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
An ileal conduit does not provide the client with control over elimination. It is a type of urinary diversion, and the client wears an external pouch to collect urine.
Choice B rationale
In an ileal conduit, the client's ureters are attached to a section of the small intestine, which is then brought to the surface of the abdomen to form a stoma. Urine flows through this conduit into an external pouch.
Choice C rationale
An ileal conduit is not a tube that directly connects the kidney to an external pouch. It involves using a section of the small intestine to create a passageway for urine to exit the body.
Choice D rationale
Stool is not passed through an ileal conduit. The ileal conduit is specifically for urinary diversion, while stool passes through the regular gastrointestinal tract.
Correct Answer is D
Explanation
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.