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A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teachings for this client, the nurse should stress on:1. Increasing fluid intake to prevent dehydration2. Wearing an appliance pouch only at bedtime3. Consuming a low-protein high fiber diet4. Taking only enteric coated medications

Answer» Correct Answer - Option 1 : Increasing fluid intake to prevent dehydration

Concept:

  • An ileostomy can cause dehydration.
  • The colon is responsible for absorbing water.
  • After the ileostomy, the stool passes from the ileum, and less water is absorbed for the body.
  • This leads to dehydration.
  • Therefore, a nurse must emphasize increasing fluid intake to prevent dehydration.

Explanation:

  • Other important health teachings on discharge:
    • Consumption of a low-fiber diet.
    • Avoid enteric-coated medicine because of partial absorption of the medicine.
    • Avoid carbonated drinks and food.
    • Avoid gas-producing food.
    • Assess for any redness, swelling, or drainage in the stoma and inform the health care provider.


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