Care Manager Certification Practice Exam

What should a nurse inform a client who is preoperative for an ileostomy?

1. “You should expect your stoma to be a purple color.”

2. “You will have a stoma placed in your right lower abdomen.”

3. “The end of the stoma will be painful after this procedure.”

4. “You will have solid stool pass through your stoma.”

The correct answer is: “You will have a stoma placed in your right lower abdomen.”

Informing a client about the specifics of their upcoming ileostomy is crucial for ensuring they understand the procedure and what to expect postoperatively. The placement of the stoma is an essential part of this education. An ileostomy typically involves creating a stoma from the end of the small intestine (ileum) and is most commonly situated in the right lower quadrant of the abdomen. This information prepares the patient for the location of the stoma, which is significant for care management and adapting to lifestyle changes that will arise after the procedure. Understanding the correct placement allows clients to mentally and physically prepare for care routines, such as pouching systems, skin care, and dietary modifications they may need to implement after surgery. Proper education about the stoma's location helps alleviate anxiety and confusion, leading to better postoperative compliance and adjustment. Other options do not provide accurate or relevant information regarding the stoma's characteristics and management.