Question

A client with an ileostomy calls the clinic reporting stomal swelling along with decreased drainage of ileostomy contents. The nurse instructs the client to do what?

Answer 1

To relieve stomal swelling and decreased drainage of ileostomy contents, the nurse may instruct the client to drink plenty of fluids, massage the abdomen gently, and try changing the position and wearing a different appliance.

Step-by-step explanation:

Stomal swelling and decreased drainage of ileostomy contents may indicate a blockage in the ileostomy. To relieve the blockage, the nurse may instruct the client to perform certain measures:

1. Drink plenty of fluids to help soften the stool and promote bowel movement.
2. Massage the abdomen gently in a clockwise direction to stimulate the movement of intestinal contents.
3. Try changing the position and wearing a different appliance to allow better flow of contents.

If the swelling and decreased drainage persist or worsen, it is important for the client to seek further medical attention.