A Total Proctocolectomy with a Permanent Ileostomy Is Performed for a Patient

question 35

Multiple Choice

A total proctocolectomy with a permanent ileostomy is performed for a patient with ulcerative colitis. The patient is very upset and tells the nurse, "I can not bear to even look at the stoma. I do not think I can manage all these changes." The nurse's best approach to the patient's remarks is to

• A) reassure the patient that care for the ileostomy will become easier.
• B) ask the patient if a member of an ostomy support group may visit.
• C) develop a detailed written plan for ostomy care for the patient.
• D) wait to intervene until the patient adjusts to the body image change.

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Definitions:

Cannabinoid

Compounds found in cannabis or produced naturally in the body that interact with cannabinoid receptors, affecting various physiological processes.

THC

Tetrahydrocannabinol, the main psychoactive compound in cannabis that produces the feeling of being high.

Limbic System

A complex system of nerves and networks in the brain, involved with instinct and mood. It controls the basic emotions (fear, pleasure, anger) and drives (hunger, sex, dominance, care of offspring).

Dopaminergic

Pertaining to or affecting dopamine or its receptors, often in reference to neurons that produce or release dopamine.