Select the statement by the nurse that is most accurate when instructing a client with a newly formed permanent colostomy on how to use the irrigation set to prevent constipation.
A)Make sure the irrigation bag is above the level of your head for best results.
B)Insert the lubricated catheter 2 to 4 inches into the stoma.
C)Dilate the stoma prior to beginning the procedure by using one finger.
D)Use cold water to best stimulate colon peristalsis.

Question

Quizplus · Accepted Answer

The nurse should instruct the client to insert the lubricated catheter 2 to 4 inches into the stoma to prevent constipation. This will allow for the evacuation of stool and prevent the buildup of fecal matter in the colon. The other options are inaccurate and could lead to complications or ineffective results.

Select the Statement by the Nurse That Is Most Accurate