A client who has been caring for an ostomy on the left side of the abdomen for several years is admitted to the hospital. Which type of stool can the nurse expect?
Moist and formed
Ribbon like
Mucus coated
Loose and liquid
The Correct Answer is A
A. Moist and formed: A left-sided ostomy is likely from the descending or sigmoid colon, where stool is more formed and solid because most water has been absorbed.
B. Ribbon-like: Ribbon-like stool is often associated with bowel obstruction or colorectal cancer, not a normal ostomy output.
C. Mucus-coated: Mucus-coated stool is more typical in patients with an ileostomy or colitis, not a long-term colostomy.
D. Loose and liquid: Liquid stool is expected with an ileostomy (right-sided ostomy), where less water is absorbed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blood-tinged: Pancreatic cancer does not typically cause rectal bleeding.
B. Clay: Blockage of the bile duct leads to pale (clay-colored) stools due to lack of bilirubin.
C. Brown: Normal stools are brown due to bilirubin metabolism.
D. Chalky: Chalky is not a typical term used for stool description in pancreatic cancer.
Correct Answer is ["A","B","C"]
Explanation
A. Avoid drawing blood from the affected extremity: Blood draws, IVs, and BP measurements should never be done on the fistula arm to prevent damage and thrombosis.
B. Auscultate the fistula for the sound of a bruit: A bruit (whooshing sound) confirms blood flow through the fistula, indicating patency.
C. Palpate the site to identify the presence of a thrill: A thrill (vibration) should be felt over the fistula. Absence may indicate clotting or failure.
D. Irrigate the fistula with saline to maintain patency: A fistula is never irrigated. Only dialysis staff should access it.
E. Keep the fistula clamped until ready to perform dialysis: AV fistulas are not clamped. Clamping could obstruct blood flow.
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