The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate postoperative period for which most frequent complication of this type of surgery?
1. Folate deficiency
2. Malabsorption of fat
3. Intestinal obstruction
4. Fluid and electrolyte imbalance
Kock ileostomy (continent ileostomy)
The Kock ileostomy is an intra-abdominal pouch that stores the feces and is constructed from the terminal ileum.
The pouch is connected to the stoma with a nipple-like valve constructed from a portion of the ileum; the stoma is flush with the skin.
A catheter is used to empty the pouch, and a small dressing or adhesive bandage is worn over the stoma between emptyings.