Question

A client is readmitted to the hospital with dehydration after surgery for creation of an ileostomy. The nurse assesses that the client has lost 3 lb of weight, has poor skin turgor, and has concentrated urine. The nurse interprets the client's clinical picture as correlating most closely with recent intake of which medication, which is contraindicated for the ileostomy client?

1) Antibiotics
2) Anticoagulants
3) Antidiarrheals
4) Antihypertensives

Answer 1

The client with dehydration symptoms post-ileostomy surgery is likely experiencing the effects of antidiarrheal medications, which can worsen dehydration and are contraindicated for ileostomy clients.

Step-by-step explanation:

The client who was readmitted to the hospital with dehydration after the creation of an ileostomy is likely experiencing complications associated with a recent intake of medication. Given the clinical picture of weight loss, poor skin turgor, and concentrated urine, along with the contraindication for ileostomy clients, the medication in question is likely to be antidiarrheals (option 3). This assumption is based on the fact that antidiarrheal medications can lead to reduced bowel movements and thus an increased risk of fluid loss, exacerbating dehydration issues in this patient group. In cases of ileostomy, maintaining proper hydration is crucial due to the increased fluid loss associated with the ileostomy output.