A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.
The nurse is aware the stoma will be in what area of the client's abdomen?
Right lower quadrant.
Left lower quadrant.
Right upper quadrant.
Left upper quadrant.
The Correct Answer is A
Choice A rationale
A terminal ileostomy involves creating an opening in the right lower quadrant of the abdomen where the ileum is brought to the surface to form a stoma for waste elimination.
Choice B rationale
The left lower quadrant is not used for a terminal ileostomy, as it is not anatomically appropriate for the ileum.
Choice C rationale
The right upper quadrant is not relevant to a terminal ileostomy because the ileum is located in the lower part of the abdomen.
Choice D rationale
The left upper quadrant is also inappropriate for a terminal ileostomy due to the anatomical position of the ileum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Lying down after meals can increase the risk of acid reflux in individuals with a hiatal hernia. Patients are often advised to remain upright after eating to minimize symptoms.
Choice B rationale
Elevating the head of the bed helps prevent gastric contents from refluxing into the esophagus, reducing symptoms of hiatal hernia and promoting better sleep.
Choice C rationale
Reducing caffeine and spicy foods can help manage symptoms, as these substances can irritate the stomach lining and exacerbate reflux in hiatal hernia patients.
Choice D rationale
Maintaining a healthy weight is important because excess weight can increase abdominal pressure and contribute to the worsening of hiatal hernia symptoms.
Choice E rationale
Drinking less fluid is not typically a recommendation for hiatal hernia. Adequate hydration is important for overall health, and reducing fluid intake may not have a significant impact on symptoms.
Correct Answer is C
Explanation
Choice A rationale
Fluticasone is a corticosteroid used to manage asthma and COPD symptoms and does not typically require clarification.
Choice B rationale
Furosemide is a diuretic used to manage fluid overload in heart failure and does not require clarification.
Choice C rationale
Carvedilol is a non-selective beta-blocker that can exacerbate asthma symptoms and bronchospasm. It should be avoided in clients with a history of asthma.
Choice D rationale
Isosorbide dinitrate is a nitrate used to manage angina and heart failure and does not require clarification.
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