Surgery Is Recommended by the Physician for a Patient with Severe

Surgery is recommended by the physician for a patient with severe ulcerative colitis who has not responded to conservative treatment.The patient tells the nurse that she does not know what decision to make about the proposed surgery or how to choose among the surgical alternatives offered by the surgeon.In responding to the patient's concerns,what should the nurse explain?

A) Surgery for ulcerative colitis involves the formation of a temporary ileostomy to divert fecal contents until the large bowel heals.
B) In a total proctocolectomy with a continent ileostomy,a pouch is created that holds bowel contents and is emptied once a day with the use of a catheter.
C) A total colectomy and ileal reservoir provide the most normal elimination function,but this surgery consists of two procedures,requiring a temporary ileostomy for 8 to 12 weeks.
D) Any proposed surgery for treatment of ulcerative colitis should be given serious consideration because the disease often recurs in previously unaffected parts of the bowel.