A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

full.

1/2 full

1/4 full.

3/4 full.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B.

Choice A rationale: Waiting until the ostomy drainage bag is full increases the risk of leakage and can put undue pressure on the stoma, leading to potential skin irritation or damage. Regular emptying is crucial for maintaining stoma health and preventing complications.

Choice B rationale: Emptying the ostomy drainage bag when it is 1/2 full is recommended to prevent leaks and reduce pressure on the stoma. This practice helps maintain skin integrity around the stoma and ensures the drainage bag functions effectively.

Choice C rationale: Emptying the ostomy drainage bag when it is only 1/4 full may be too frequent and unnecessary, leading to increased use of supplies and potential irritation from frequent manipulation. It is more practical to aim for 1/2 full for routine care.

Choice D rationale: Waiting until the ostomy drainage bag is 3/4 full increases the risk of leakage and pressure on the stoma, similar to waiting until it is full. It is essential to empty the bag more regularly to maintain optimal stoma health and prevent issues

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A The shape of the abdomen is a physical assessment finding and not subjective

information provided by the patient. It involves the nurse's observation of the patient's abdomen during the examination.

Choice B Bowel sounds are also physical assessment findings that involve the nurse listening to the patient's abdomen using a stethoscope.

Choice C This is the correct answer. Abdominal cramping and discomfort are subjective symptoms reported by the patient and are relevant to the patient's bowel elimination status. Choice D Like the shape of the abdomen, the distention of the abdomen is a physical assessment finding and not subjective information provided by the patient.

A. A 40yearold patient with an ileostomy B. A 70yearold patient with incontinence C. A 30yearold patient with C. difficile D. A 25yearold patient with Crohn's disease

Correct Answer is B

Explanation

Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.

Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.

Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.

Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.

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A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's admission assessment includes pertinent information about bowel elimination. Which subjective information collected by the nurse will be documented?

Correct Answer is C

Explanation

The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

Correct Answer is B

Explanation

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