If you are not familiar with what a colostomy is, you may not know why this is the right answer. Colostomy refers to undergoing a surgery that will create an opening in the large intestine. The purpose of this is to collect the feces from the large intestine.
This is needed when there is an infection to the abdomen. At times, this may also be caused by an injury to the colon. If there is a blockage in the bowel, this is already a sign that colostomy is required. Those who have to undergo this procedure may be going through other symptoms that will lead to the loss of fluid.
A client with a colostomy-rationale: causes of deficient fluid volume include vomiting, diarrhea, conditions that cause increased respirations or increased urinary output, insufficient iv fluid replacement, draining fistulas, and the presence of an ileostomy or colostomy. a client with congestive heart failure or decreased kidney function, or a client receiving frequent wound irrigations, is at risk for excess fluid volume.test-taking strategy: read the question carefully, noting that it asks for the client at risk for a deficit. read each option and think about the fluid imbalance that can occur in each. the clients presented in options b, c, and d retain fluid. the only condition that can cause a deficit is the condition noted in option a. if you had difficulty with this question, review the causes of deficient fluid volume.