A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir (J pouch). What information should the nurse include in this client's teaching plan?
A) The client will need an easily removable appliance.
B) The client will need to plan for a daily irrigation.
C) The stool will be expelled through the rectum eventually.
D) The transverse loop ostomy will be temporary.

Question

Quizplus · Accepted Answer

The ileal pouch-anal anastomosis (also known as the J pouch) prevents the need for an ostomy and preserves the rectal sphincter muscle. The rectal mucosa is excised and the colon removed. An ileoanal reservoir is then created in the anal canal, and a temporary loop ostomy is formed. After healing has taken place, the ileostomy is reversed and stool drains into the reservoir.

A Client with Ulcerative Colitis Is Scheduled for Surgical Creation