Following findings require further investigation:
1. Areas of excoriation are noted on the skin surrounding the stoma.
2. No bowel sounds are present and the client reports nausea.
3. The client states, "I will call home health to come empty the pouch."
<h3>What is colostomy placement?</h3>
A colostomy is a procedure that makes a passageway through the abdomen for the colon, or large intestine. A colostomy can be either short-term or long-term. Usually, it follows bowel surgery or an injury. While many temporary colostomies carry the side of the colon up to an opening in the belly, the majority of permanent colostomies are "end colostomies."
The end of the colon may be turned under, like a cuff, after being brought through the abdominal wall during an end colostomy. A stoma, or opening, is created by stitching the colon's margins to the skin of the abdominal wall. Stool drains from the stoma into an abdomen-attached bag or pouch. An abdominal wall hole and a hole in the side of the colon are sewn together to provide a temporary "loop colostomy." By merely separating the colon from the abdominal wall and plugging the holes, the flow of stools through the colon can be restored more readily in the future.
<h3>What are the steps followed after colostomy?</h3>
You will learn how to take care of your colostomy and the device or pouch that collects your stool while you are in the hospital.
You'll be shown how to clean your stoma by your nurse. Once you go home, you'll carefully perform this action each day using only warm water. Next, gently massage the area dry or let it air dry.
Learn how to take care of your colostomy throughout your hospital stay. You must always wear a thin, light drainable pouch if you have an upward or transverse colostomy.
Make sure to speak with an ostomy nurse or other specialist before returning home so they can help you test out the necessary equipment.
I understand the question you are looking for is this:
The nurse is preparing to discharge a client 4 days after colostomy placement. Which of the following findings is concerning and requires further investigation? Select all that apply.
1. Areas of excoriation are noted on the skin surrounding the stoma.
2. No bowel sounds are present and the client reports nausea.
3. The client states, "I will call home health to come empty the pouch."
4. The client states, "There is a little gas in the colostomy bag."
5. The stoma is red, edematous, and smaller than the previous day.
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