Gastrointestinal System Disorders Q 137 - Gyan Darpan : Learning Portal
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Thursday, 14 April 2022

Gastrointestinal System Disorders Q 137

During the first few days of recovery from ostomy surgery for ulcerative colitis, which of the following aspects should be the first priority of client care?
    A. Body image
    B. Ostomy care
    C. Sexual concerns
    D. Skin care

Correct Answer: B. Ostomy care

Although all of these are concerns the nurse should address, being able to safely manage the ostomy is crucial for the client before discharge. Patients may have comorbidities that affect their ability to manage their ostomy care. Conditions such as arthritis, vision changes, Parkinson’s disease, or post-stroke complications may hinder a patient’s coordination and function to manage the ostomy.

Option A: Help the patient identify and initiate positive coping behaviors used in the past. Successful behaviors can be fostered in dealing with current problems and stress, enhancing a patient’s sense of self-control.
Option C: Provide opportunity for the patient to discuss how illness has affected relationships, including sexual concerns. Stressors of illness affect all areas of life, and the patient may have difficulty coping with feelings of fatigue and pain in relation to relationship and sexual needs.
Option D: Observe excessively dry skin and mucous membranes, decreased skin turgor, slowed capillary refill; Indicates excessive fluid loss or resultant dehydration.

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