Certified Ostomy Care Nurse (COCN) Practice Exam

Patients who have undergone a colectomy with ileostomy often face significant challenges related to fluid and electrolyte balance. This is because the ileostomy allows the output of more liquid stool compared to a typical colonic function, leading to an increased risk of dehydration and imbalances in electrolytes such as sodium and potassium.

Maintaining hydration is crucial for these patients, as the ileostomy may result in a higher output of fluid. They may also need to be educated about the signs and symptoms of dehydration as well as the importance of fluid intake and possibly electrolyte supplementation. It's essential for healthcare providers to monitor these patients closely to ensure they are maintaining proper hydration status and electrolyte levels post-surgery.

While stoma care frequency and dietary restrictions are also important considerations following a colectomy with ileostomy, they tend to revolve around managing the stoma and adapting to new dietary needs rather than the immediate concern of fluid and electrolyte balance. Similar reasoning applies to wound site infections, which, while relevant in the postoperative context, are generally not as pressing as the risk of dehydration following ileostomy.