A nurse is assessing a client who has a colostomy. Which of the following findings show the nurse report to the provider?
The skin around the stoma is red.
The ostomy is draining frequently.
The stool is yellow-green.
The stoma is pale in color.
The Correct Answer is D
A. The skin around the stoma is red: Redness around the stoma may indicate skin irritation, which is common but typically managed with proper skin care and is not always an urgent concern. However, if the redness is severe or associated with other symptoms, it should be monitored. Reporting may be necessary if it worsens.
B. The ostomy is draining frequently: Frequent drainage may be expected depending on the location of the colostomy and the client’s diet. While it should be monitored, frequent drainage alone does not necessarily indicate a problem that needs to be reported.
C. The stool is yellow-green: The color of stool can vary depending on diet, the location of the colostomy, and bile presence. Yellow-green stool is often expected in higher colostomies and may not need to be reported unless it is a sudden change.
D. The stoma is pale in color: A pale or dusky stoma can indicate compromised blood flow, which is a serious concern and should be reported to the provider immediately. A healthy stoma should be pink or red.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lactulose: Lactulose is used to reduce blood ammonia levels in hepatic encephalopathy, not to reduce potassium levels. It is not appropriate for treating hyperkalemia.
B. Sevelamer: Sevelamer is a phosphate binder used in clients with chronic kidney disease to lower serum phosphorus levels, not potassium. It is not appropriate for treating hyperkalemia.
C. Sodium polystyrene: Sodium polystyrene (Kayexalate) is a cation-exchange resin used to treat hyperkalemia. It works by exchanging sodium ions for potassium ions in the intestine, promoting the excretion of potassium. This is the correct medication to administer for a serum potassium level of 6.8 mEq/L.
D. Darbepoetin alfa: Darbepoetin alfa is a synthetic erythropoietin used to treat anemia associated with chronic kidney disease. It is not used to treat hyperkalemia.
Correct Answer is B
Explanation
A. "You will wear an external collection bag to drain your urine." An external collection bag is required for an ileal conduit, not a neobladder, where urine is stored internally.
B. "You will have an internal pouch to store your urine." A neobladder is created using a portion of the intestine to form a new bladder, which stores urine internally. The client may be able to void through the urethra.
C. "You will have a stoma that is located in your abdomen." A stoma is associated with an ileal conduit or a urostomy, not with a neobladder. A neobladder does not require an external stoma.
D. "You will not be able to control your urination." Initially, the client may have difficulty controlling urination until they learn how to use the neobladder. Over time, they may regain some control.
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