A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?
Explanation & Rationale
A. "You will have a stoma placed in your right lower abdomen.": An ileostomy is created from the ileum, which is located in the lower right quadrant of the abdomen. Therefore, the stoma is placed in the right lower abdomen. B. "You will have solid stool pass through your stoma.": Stool from an ileostomy is liquid to semi-liquid because it bypasses the colon, where water absorption occurs. Solid stool is more characteristic of a colostomy, not an ileostomy. C. "You should expect your stoma to be a purple color.": A healthy stoma should be moist and pink to bright red, reflecting adequate blood supply. A purple, brown, or black stoma suggests ischemia or necrosis and requires immediate medical attention. D. "The end of the stoma will be painful after this procedure.": The stoma itself does not have nerve endings, so it should not be painful. Any postoperative discomfort would come from the surgical incision, not from the stoma opening.