A Client With Ulcerative Colitis Is Scheduled For Surgical Creation Of An Ileoanal Reservoir

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A Client With Ulcerative Colitis Is Scheduled For Surgical Creation Of An Ileoanal Reservoir

(J pouch). As part of preoperative teaching, what information should the nurse provide? A. The transverse loop ostomy is permanent. B. Easily removable appliances allow independence in self-care. C. Daily irrigation is started after the J pouch heals. D. Stool is eventually expelled through the rectum. Correct l
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D An ileal pouch-anal anastomosis (also known as the J pouch) is a surgically created ileoanal reservoir in the anal canal that preserves the rectal sphincter muscle, so that (D) is the eventual result. To promote healing of the anastomosed parts of the colon, a temporary loop ostomy is created, not a permanent one (A). Although appliances that are easy to use (B) are advantageous, the ostomy is reversed after healing takes place. Stool drains into the reservoir, so (C) is not usually indicated. Category: Medical-SurgicaL
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