Ace the 2025 Certified Ostomy Care Nurse Exam – Step Up and Stoma with Confidence!

Maintaining a high level of fluid intake is essential for patients who have undergone an ileal pouch-anal anastomosis (IPAA) with a loop ileostomy. This surgical procedure can significantly impact the patient's fluid and electrolyte balance because the ileostomy bypasses the colon, which typically reabsorbs a substantial amount of fluid. As a result, patients may experience increased output from the ileostomy, leading to potential dehydration and imbalances in electrolytes.

To mitigate these risks, it is crucial for patients to drink plenty of fluids. Hydration helps to replace the losses from the ileostomy output and supports overall health following the surgery. This fluid intake should include not only water but also electrolyte-rich fluids to maintain a proper balance of salts and minerals in the body.

The other options would not be appropriate for this specific situation. A standard wear skin barrier may not provide the optimal fit and protection needed, particularly as the stoma may change size during the postoperative period. Eating foods to soften the stool is not necessary in this context, as the focus should instead be on maintaining fluid intake and potentially following a diet that is tailored to reduce output if needed. Changing the ostomy pouch daily can also be excessive; the frequency of pouch