The nurse is caring for a client with an ileostomy who reports an embarrassing odor.
The nurse should recommend that the client avoid consuming
The nurse is caring for a client with an ileostomy who reports an embarrassing odor.
The nurse should recommend that the client avoid consuming
A. buttermilk.
[14%]
B. parsley.
[14%]
C. yogurt.
[11%]
D. eggs.
[61%]
Statistics
Subject/Lesson
Subject
Nutrition
Lesson
Nutrition
Client Need
Test Plan
Basic Care and Comfort
Related Topic
Nutrition and Oral Hydration
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice D is correct. Eggs, asparagus, alcohol, fish, onions, cabbage, and grapes are just a small sampling of the foods known to cause foul-smelling stools, gas, and/or increased foul odors, which ostomy clients often report as concerning. These clients should be educated and provided with a comprehensive list of foods to avoid to reduce the likelihood of omitting foul odors from their ileostomy.
Choice A is incorrect. Buttermilk helps alleviate gas and odor in ileostomy clients. Therefore, it is considered a deodorizing food for these clients.
Choice B is incorrect. In ileostomy clients, parsley is considered a deodorizing food, as it helps alleviate gas and odor.
Choice C is incorrect. Yogurt (with active cultures) is considered a deodorizing food, as it often helps relieve gas and odor in clients with an ileostomy.
Additional Info
✓ When a client undergoes an ileostomy, a loop of the client's ileum is placed through an opening in the abdominal wall (i.e., stoma), allowing drainage of fecal material into a pouching system positioned on the abdomen.
✓ Cranberry juice also relieves gas and odor in clients with an ileostomy.
✓ The intake of excess air may cause gas and subsequent odor. Therefore, the client should refrain from chewing gum, consuming meals too quickly, and/or drinking through a straw.
✓ Odor-resistant pouches, special deodorant liquids, and/or tablets indicated for pouch placement are available to address ostomy-related odor concerns if the client chooses.
