A nurse has completed providing care for a client who has a new colostomy determines the patient education is ready to learn how to care for it himself. Which of the following outcomes should the nurse expect?

Refusal to look at stoma or participate in care.

Increase in length of care in the health care facility

Increase in need for pain medication

interest in learning how to empty the bag

Answer and Explanation

The Correct Answer is D

A. Refusal to look at stoma or participate in care: This indicates denial or emotional distress, not readiness to learn.

B. Increase in length of care in the health care facility: This is a negative outcome, not a sign of readiness to learn.

C. Increase in need for pain medication: Increased pain may interfere with learning and does not indicate readiness.

D. Interest in learning how to empty the bag: Active interest in self-care tasks is a strong sign of readiness to learn and take part in self-management.

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Correct Answer is D

Explanation

A. Rectum: The rectum is the final part of the GI tract where waste is stored before elimination; it is not the starting point.

B. Stomach: The stomach is an intermediate organ in the digestion process; food reaches it after the mouth and esophagus.

C. Small intestine: The small intestine is involved in nutrient absorption but is not the starting point.

D. Mouth: Digestion begins in the mouth, where mechanical breakdown by chewing and chemical digestion by saliva start the digestive process.

A. Skin tenting B. BP 178/90 mm Hg C. Jugular vein distention D. Red mucous membranes

Correct Answer is A

Explanation

A. Skin tenting: Skin that remains elevated after being pinched indicates poor skin turgor, a classic sign of dehydration.

B. BP 178/90 mm Hg: Elevated blood pressure is not associated with dehydration; dehydration usually causes low BP.

C. Jugular vein distention: JVD indicates fluid overload, not dehydration.

D. Red mucous membranes: Dehydration typically causes dry, sticky, or cracked mucous membranes, not redness.

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A nurse has completed providing care for a client who has a new colostomy determines the patient education is ready to learn how to care for it himself. Which of the following outcomes should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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