In caring for a patient who had a fecal surgical diversion,which nursing intervention is essential?
A)Place a pouch over the newly created stoma.
B)Place a dressing over the stoma.
C)Wait several days before placing a pouch.
D)Prepare several pouches in advance.

Question

Quizplus · Accepted Answer

Immediately after a fecal surgical diversion,it is necessary to place a pouch over the newly created stoma to contain effluent when the stoma begins to function.The pouch will keep the patient clean and dry,will protect the skin from drainage,and will provide a barrier against odor.Dressings would obstruct the opening and would become saturated with fecal material.Preparing multiple pouches in advance would be counterproductive;in the immediate postoperative period,the stoma may be edematous and the abdomen distended.These symptoms eventually resolve,but during this time,it will be necessary to revise the pouching system to meet the changing size of the stoma and the changes in body contours.

In Caring for a Patient Who Had a Fecal Surgical