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A nurse is caring for a client who has a newly placed ileostomy. What education should the nurse provide?

a) Encouraging high-fiber foods to prevent blockage.
b) Recommending avoiding regular stoma care.
c) Discouraging the use of a protective stoma cover.
d) Advising against gentle washing of the area.

1 Answer

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Final answer:

Nurses should educate clients with a newly placed ileostomy on gentle cleaning, using protective covers, and dietary modifications to prevent complications. Encouraging regular stoma care is essential for proper healing and function.

Step-by-step explanation:

When caring for a client with a newly placed ileostomy, it is crucial to provide education on proper stoma care to promote healing and prevent complications. The nurse should advise on several aspects including:

  • Gentle washing of the stoma area with warm water to maintain cleanliness and prevent irritation or infection. Mild soap can be used if necessary, but should be completely rinsed away.
  • Using a protective stoma cover when necessary to shield the skin around the stoma from stool. This helps to prevent skin irritation and breakdown.
  • Avoiding high-fiber foods initially to prevent blockage and ease digestion, as the digestive system may still be adjusting to the ileostomy.

Contrary to the options presented in the question, patients should be encouraged to perform regular stoma care and gentle washing and they should not avoid the use of protective coverings that are recommended by healthcare providers.

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