A nurse in a post-anesthesia care unit (PACU) is assessing a patient who has a newly created colostomy. What findings should the nurse report to the provider?

Purplish-colored stoma.

Rosebud-like stoma orifice.

Stoma oozing red drainage.

Shiny, moist stoma.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.

Choice B rationale

A rosebud-like stoma orifice is a normal finding and does not need to be reported18.

Choice C rationale

A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.

Choice D rationale

A shiny, moist stoma is a normal finding and does not need to be reported18.

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Free Nursing Study Resources

Correct Answer is ["75"]

Explanation

Step 1 is to divide the total volume of TPN by the total time in hours.

So, 1800 mL ÷ 24 hr = 75 mL/hr.

A. Fill the balloon with the recommended sterile water. B. Remove the catheter, wipe with alcohol, and reinsert after lubrication. C. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter. D. Discard the catheter and begin again.

Correct Answer is C

Explanation

If the nurse suspects the catheter is not in the urethra, they should leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.

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A nurse in a post-anesthesia care unit (PACU) is assessing a patient who has a newly created colostomy. What findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is ["75"]

Explanation

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?

Correct Answer is C

Explanation

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