A nurse is assisting with evaluating a newly licensed nurse who is draining an ileostomy bag for a client. Which of the
following actions by the newly licensed nurse indicates an understanding of the procedure?
Wears sterile gloves to drain the ileostomy bag
Washes the skin surrounding the client's ileostomy with hot water
Cleans the end of the ileostomy pouch before clamping
Empties the ileostomy bag when it is three-fourths full
The Correct Answer is C
Choice A reason: Wearing sterile gloves is not necessary when draining an ileostomy bag as this is not a sterile procedure. Clean gloves are typically used.
Choice B reason: Washing the skin surrounding the ileostomy with hot water is not recommended as it can cause
irritation. Lukewarm water should be used, and the area should be patted dry.
Choice C reason: Cleaning the end of the ileostomy pouch before clamping is important to maintain hygiene and
prevent contamination when draining the bag.
Choice D reason: The ileostomy bag should be emptied when it is one-third to one-half full to prevent leakage and ensure comfort for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An upper GI series is a series of X-rays used to examine the esophagus, stomach, and small intestine, not the rectum or colon.
Choice B reason: A colonoscopy is the most appropriate test for screening for rectal cancer as it allows for the
examination of the entire colon and rectum and can also facilitate the removal of polyps.
Choice C reason: ERCP is primarily used to diagnose and treat conditions in the liver, gallbladder, bile ducts, and pancreas, not the rectum.
Choice D reason: An upper GI endoscopy, or esophagogastroduodenoscopy (EGD), is used to examine the lining of the upper part of the gastrointestinal tract, which includes the esophagus, stomach, and duodenum, not the rectum.
 |
Correct Answer is A
Explanation
Choice A reason: To calculate BMI, the nurse needs the client's height and weight. BMI is calculated by dividing the weight in kilograms by the square of height in meters.
Choice B reason: Skinfold thickness is used to estimate body fat percentage, not BMI.
Choice C reason: Waist circumference is used as a measure of abdominal obesity, not for calculating BMI.
Choice D reason: Daily calorie intake is not required for BMI calculation; it is more relevant for dietary assessments
and weight management plans.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today