A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image?

Prefers not to look at the stoma site

Participates in performing ostomy care

Denies feelings of sadness about the ostomy

Accepts that sexual activity will decrease

Answer and Explanation

The Correct Answer is B

A. "Prefers not to look at the stoma site.": Avoidance suggests denial or difficulty accepting the body change.
B. "Participates in performing ostomy care." Active participation in care indicates the client is adjusting to their new body image and accepting their altered appearance.
C. "Denies feelings of sadness about the ostomy.": Denial of emotions does not necessarily mean acceptance. Acknowledging and expressing feelings is important for adjustment.
D. "Accepts that sexual activity will decrease.": This statement reflects resignation rather than acceptance. Many clients with a colostomy maintain an active sexual life.

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Correct Answer is D

Explanation

A. "I am only contagious while the lesions are present.": Viral shedding can occur even when lesions are not visible.
B. "The virus cannot spread to areas other than the genital area.": The virus can spread to other areas through autoinoculation or sexual contact.
C. "I can have unprotected sex as long as I am taking acyclovir.": Acyclovir reduces outbreaks but does not eliminate the risk of transmission.
D. "The lesions may reoccur in times of stress.": Herpes simplex virus type 2 is latent between outbreaks, but stress and other factors can trigger recurrences.

A. "Perform breast self-examinations during the middle of your cycle." B. "Perform breast self-examinations while lying on your side." C. "Use small, circular motions, working vertically up and down across the breast." D. "Use the palm of your hand to detect the presence of any large masses under the skin."

Correct Answer is C

Explanation

A. "Perform breast self-examinations during the middle of your cycle.": The best time for premenopausal clients to perform a breast self-exam is 5-7 days after the menstrual period ends, when hormonal fluctuations are minimal, and the breasts are less tender.
B. "Perform breast self-examinations while lying on your side.": The recommended position for self-examination is lying flat with the arm on the side being examined raised above the head, as this spreads the breast tissue more evenly.
C. "Use small, circular motions, working vertically up and down across the breast.": The vertical strip method, using small circular motions, is the recommended technique for thorough breast self-examination. It ensures that all breast tissue is palpated, including the axillary area.
D. "Use the palm of your hand to detect the presence of any large masses under the skin.": The pads of the fingers, not the palm, are used to palpate the breast for lumps or abnormalities.

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A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has herpes simplex virus type 2. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the nurse is appropriate regarding breast self-examinations?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

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