Physiological Adaptation Q 63

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A client underwent ileostomy, when should the drainage appliance be applied to the stoma?

  

     A. 24 hours later, when edema has subsided

     B. In the operating room

     C. After the ileostomy begins to function

     D. When the client is able to begin self-care procedures

    

    

Correct Answer: B. In the operating room

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The stoma drainage bag is applied in the operating room. Drainage from the ileostomy contains secretions that are rich in digestive enzymes and highly irritating to the skin. Protection of the skin from the effects of these enzymes is begun at once. Skin exposed to these enzymes even for a short time becomes reddened, painful, and excoriated.

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Option A: If the application of the drainage appliance is delayed after surgery, the skin around the stoma would be most likely irritated and damaged due to the digestive enzymes present in the secretions of the drainage.

Option C: An ileostomy needs a drainage bag before it starts to function so that the secretions from the drainage would be caught up by the bag, preventing contamination of the skin.

Option D: The client would have irritated, damaged skin once the drainage comes out from the stoma and comes into contact with the skin.

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