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Assessment findings for a client following a colectomy for familial polyposis include an ileostomy bag that contains a large amount of fecal liquid and an IV infusion of dextrose 5% in lactated Ringer's infusing at a rate of 100 mL/hour.

Which assessment is most important?

A. Urinary output.
B. Serum electrolytes.
C. Peristomal skin integrity.
D. Skin turgor.


Sagot :

Final answer:

Serum electrolytes are the key assessment following a colectomy in this scenario.


Explanation:

The most relevant assessment in this scenario is serum electrolytes. Following a colectomy and with the presence of a large amount of fecal liquid in the ileostomy bag, monitoring electrolyte levels is crucial due to potential imbalances caused by the rapid flow of fluids through the gastrointestinal tract.

Urine output is important to assess hydration status, skin turgor can indicate dehydration, and peristomal skin integrity is crucial for stoma care, but in this specific case, serum electrolytes take precedence.


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