Nurse Rhea is teaching a client how to irrigate his stoma. Which action indicates that the client needs more teaching?
a. Hanging the irrigation bag 24″ to 36″ (60 to 90 cm) above the stoma
b. Filling the irrigation bag with 500 to 1,000 ml of lukewarm water
c. Stopping irrigation for cramps and clamping the tubing until cramps pass
d. Washing hands with soap and water when finished
Answer A. An irrigation bag should be elevated 18″ to 24″ (40 to 60 cm) above the stoma. Typically, adults use 500 to 1,000 ml of water at a temperature no higher than 105° F (41° C) to irrigate a colostomy.
If cramping occurs during irrigation, irrigation should be stopped and the client should take deep breaths until the cramping stops.
Irrigation can then be resumed.
Hand washing reduces the spread of microorganisms.
a. Hanging the irrigation bag 24″ to 36″ (60 to 90 cm) above the stoma
b. Filling the irrigation bag with 500 to 1,000 ml of lukewarm water
c. Stopping irrigation for cramps and clamping the tubing until cramps pass
d. Washing hands with soap and water when finished
Answer A. An irrigation bag should be elevated 18″ to 24″ (40 to 60 cm) above the stoma. Typically, adults use 500 to 1,000 ml of water at a temperature no higher than 105° F (41° C) to irrigate a colostomy.
If cramping occurs during irrigation, irrigation should be stopped and the client should take deep breaths until the cramping stops.
Irrigation can then be resumed.
Hand washing reduces the spread of microorganisms.
