When receiving a report from the perioperative nurse about a new client who will be admitted after undergoing a colectomy with the formation of an ileostomy, the nurse working on a surgical stepdown unit should obtain the following information:
Client’s medical history: The nurse should obtain information about the client’s medical history, including any pre-existing conditions or allergies.
Details of the surgery: The nurse should obtain information about the details of the surgery, including the type of anesthesia used, any complications that occurred during the surgery, and the length of the surgery.
Postoperative orders: The nurse should obtain information about the postoperative orders, including any medications or treatments that have been prescribed and any dietary or activity restrictions.
Ileostomy care: The nurse should obtain information about how to care for the client’s ileostomy, including how to change the pouch and how to monitor for signs of infection or other complications.
Pain management: The nurse should obtain information about the client’s pain level and any pain management strategies that have been implemented.
All of these options apply.