The client may develop a bowel routine and cover the stoma with a bandage or a smaller pouch device thanks to colostomy irrigation. Using a cone-tipped irrigator, gently infuse 500–1000 mL of lukewarm water into the stoma while suspending the bag 18–24 inches above the stoma and allowing feces to flow through the sleeve into the toilet.
This is further explained below.
<h3>Which client action reveals that further teaching is required?</h3>
Generally, Colostomy irrigation gives the patient the ability to establish a routine for bowel movements and to dress or use a device with a smaller pouch to cover the stoma.
The stoma should be irrigated with 500-1000 mL of lukewarm water, the bag should be hung 18-24 inches above the stoma, the solution should be slowly infused using the cone-tipped irrigator, and the stool should be allowed to drain through the sleeve and into the toilet.
In conclusion, This will ensure that the stoma is properly irrigated.
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CQ
The nurse is teaching the home health client how to perform colostomy irrigation. Which client action reveals that further teaching is required?
1. Attaches an enema set to the irrigation bag, lubricates it, gently inserts it into the stoma, and holds it in place
2. Fills irrigation container with 500-1000 mL of lukewarm tap water and flushes the irrigation tubing
3. Hangs the irrigation container on a hook at the level of the shoulder approximately 22 inches above the stoma
4. Slowly opens the roller clamp, allowing the irrigation solution to flow, but clamps the tubing when cramping occurs