NCLEX-PN Practice Q 37

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The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because:

  

     A. Digestive enzymes cause skin breakdown

     B. Stools are less watery and contain more solid matter

     C. The stoma will heal after one year

     D. It is difficult to fit the appliance to the stoma site

    

    

Correct Answer: A. Digestive enzymes cause skin breakdown

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Option A: Stool from the ileostomy contains digestive enzymes that are acidic and corrosive in nature when in contact with the skin can cause severe skin breakdown.

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Option B: Stools that come out from ileostomy are liquid in nature and not a solid like what comes from the colon.

Option C: A full recovery of stoma surgery usually takes after 3 months when the abdominal muscles are completely healed.

Option D: The appliance has a measuring guide to accurately cut the shape in order to fit the stoma.

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