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 B

Explanation

Choice A reason:

While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.

Choice B reason:

This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.

Choice C reason:

Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.

Choice D reason:

Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.

A. Level of consciousness B. Gag reflex C. Nausea D. Pain

Correct Answer is B

Explanation

Choice A reason:

While assessing the client's level of consciousness is important, it is not the priority after an EGD procedure. Ensuring the client's airway and protective reflexes is more crucial.

Choice B reason:

This is the correct answer. After an EGD, the client may have residual effects from sedation. Assessing the gag reflex helps ensure that the client's airway is protected.

Choice C reason:

Nausea is a common side effect after an EGD, but it is not the priority assessment. Ensuring the client's airway and safety come first.

Choice D reason:

Assessing pain is important for the client's comfort, but it is not the priority assessment after an EGD. Ensuring the client's airway and protective reflexes is more crucial.

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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 client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Correct Answer is B

Explanation

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority?

Correct Answer is B

Explanation

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