A nurse cares for a young client with a new ileostomy. The client states, "I cannot go to prom with an ostomy." How would the nurse respond?

"Sure you can. Purchase a prom dress one size larger to hide the ostomy appliance."

"The pouch won't be as noticeable if you avoid broccoli and carbonated drinks prior to the prom."

"Let's talk to the ostomy nurse about options for ostomy supplies and dress styles."

"You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable."

Answer and Explanation

The Correct Answer is C

A. Suggesting a larger dress size may feel dismissive and doesn't address the emotional and practical concerns the client has.
B. While dietary changes can reduce gas, this response overlooks the client’s emotional needs and long-term self-image concerns.
C. Collaborating with the ostomy nurse provides the client with expert support, tailored solutions for managing the ostomy, and guidance on body image and confidence—empowering the client to feel more comfortable attending prom.
D. Removing the pouch is unsafe and inappropriate, especially for a client with an ileostomy, which continuously produces output.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Jaundice occurs due to the liver’s inability to process and excrete bilirubin, causing yellowing of the skin.

B. Clay-colored stools result from reduced bile flow into the intestines due to liver dysfunction.

C. Icterus (yellowing of the sclera) is a visible sign of bilirubin accumulation, common in late-stage liver disease.

D. Ascites, or fluid accumulation in the abdomen, occurs due to portal hypertension and low albumin production in cirrhosis.

E. Petechiae (small purple spots) result from impaired liver production of clotting factors, leading to bleeding tendencies.

F. Dark urine is caused by excess conjugated bilirubin being excreted by the kidneys due to the liver’s inability to process it properly.

A. Dietary iron restrictions B. Intestinal malabsorption syndrome C. Chronic blood loss D. Intestinal parasites

Correct Answer is C

Explanation

A. Dietary iron restrictions are not a standard part of ulcerative colitis management and are unlikely to cause anemia in this context.

B. Ulcerative colitis affects the colon, not the small intestine where most nutrient absorption occurs, so malabsorption is less common.

C. Chronic blood loss from persistent intestinal inflammation and ulceration is a common cause of iron-deficiency anemia in ulcerative colitis patients.

D. Intestinal parasites are not a typical complication of ulcerative colitis and are not a likely cause of anemia in this scenario.

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A nurse cares for a young client with a new ileostomy. The client states, "I cannot go to prom with an ostomy." How would the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has late-stage (advanced) cirrhosis. What assessment findings would the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

Correct Answer is C

Explanation

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