A patient with an ileostomy has continuous watery output and reports weakness. Which finding requires the nurse to report promptly?
Correct answer: B. Urine output of 20 mL in the last hour
- A. Moist pink stoma with liquid output
- B. Urine output of 20 mL in the last hour
- C. Mild gas passing into the pouch
- D. Small amount of mucus from the rectum
Explanation
An ileostomy can cause substantial fluid and electrolyte loss, so urine output of 20 mL in one hour may indicate hypovolaemia or reduced renal perfusion. A moist pink stoma and liquid output are expected early findings.
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About Elimination and Catheterisation
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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