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. Muscle spasms: These are not typically associated with DVT.
B. Absent pedal pulse: This suggests arterial occlusion, not venous thrombosis.
C. Numbness of the affected extremity: Numbness is not a classic sign of DVT and might indicate a nerve-related issue.
D. Warmth of the affected extremity. Warmth is a hallmark sign of DVT due to localized inflammation and impaired venous circulation.

A. Dyspnea B. Increased pain at incision site C. Tingling sensation to right foot D. Swelling at incision site

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Explanation

Findings	Acute compartment syndrome	Infection	Fat embolism syndrome
Dyspnea			✔
Increased pain at incision site	✔	✔
Tingling sensation to right foot	✔
Swelling at incision site	✔	✔

Dyspnea is a hallmark of fat embolism syndrome due to impaired oxygen exchange.

Increased pain at the incision site can signal both acute compartment syndrome (due to increased pressure) and infection (due to local inflammation).

Tingling sensation to the right foot is a sign of nerve compression related to compartment syndrome.

Swelling at the incision site is consistent with both compartment syndrome (due to tissue pressure) and infection (due to inflammation).

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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 caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep- vein thrombosis?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Explanation

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