A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Shiny, moist stoma

Rosebud-like stoma orifice

Purplish-colored stoma

Stoma oozing red drainage

Answer and Explanation

The Correct Answer is C

Choice A reason:

A shiny, moist stoma is generally a healthy sign, indicating good blood supply and adequate hydration of the stoma tissue. It is not a cause for concern.

Choice B reason:

A rosebud-like stoma orifice is a normal appearance for some types of stomas. It indicates a healthy stoma with good blood supply. This finding is expected and does not warrant concern.

Choice C reason:

A purplish-colored stoma may indicate compromised blood supply to the stoma, which is a serious concern and should be reported to the provider promptly. It may suggest inadequate blood flow to the stoma, which could lead to tissue necrosis.

Choice D reason:

Stoma oozing red drainage may be normal immediately postoperatively. It can be due to some oozing from the surgical site, and if it's minimal and stops after a short while, it's generally not a cause for concern.

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Correct Answer is D

Explanation

Choice A reason:

Taking metronidazole with food can help reduce stomach upset. It is not typically recommended to take on an entirely empty stomach.

Choice B reason:

Metronidazole can cause drowsiness, but taking it at bedtime specifically for this reason is not a standard recommendation. It's more important to focus on avoiding alcohol.

Choice C reason:

Taking an extra dose without specific medical advice is not recommended. It's important to follow the prescribed dosing regimen.

Choice D reason:

Avoiding alcohol while taking metronidazole is crucial. The combination of metronidazole and alcohol can cause severe reactions, including nausea, vomiting, abdominal cramps, headache, and flushing. This interaction can occur for several days after discontinuing metronidazole, so it's essential to abstain from alcohol throughout the course of treatment.

Correct Answer is ["3.6"]

Explanation

To calculate the dose of Ceclor in mg, multiply the weight in kg by the dosage in mg/kg/day and divide by the number of doses per day.
To convert pounds to kg, divide by 2.2.
To calculate the volume of Ceclor in mL, divide the dose in mg by the concentration in mg/mL.
Convert 66 pounds to kg: 66 / 2.2 = 30 kg
Calculate the dose of Ceclor in mg: 30 x 45 / 3 = 450 mg
Calculate the volume of Ceclor in mL: 450 / 125 = 3.6 mL
The nurse would administer 3.6 mL per dose.

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A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a peptic ulcer disease has had metronidazole (Flagyl) added to his current medication regimen. What health education related to this medication should the nurse provide?

Correct Answer is D

Explanation

Give Ceclor 45mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75mL stock medication is labeled Ceclor 125mg/mL. How many mLs would the nurse administer per dose? Units in mL. (Please record your exact answer)

Correct Answer is ["3.6"]

Explanation

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