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 A

Explanation

A. The client should wear a mask during transport. In droplet precautions, the primary goal is to prevent the spread of respiratory secretions. The client wearing a mask during transport helps contain droplets and protect others.
B. The nurse should wear a mask during transport: While the nurse can wear a mask when in close contact with the client, it is more effective for the client to wear a mask to contain respiratory droplets.
C. The nurse should wear a gown during transport: Gowns are not required for droplet precautions unless there is a risk of contact with bodily fluids.
D. The client should wear a gown during transport: Gowns are unnecessary for droplet precautions unless the client’s clothing is contaminated.

A. Applesauce B. Orange slices C. Bran cereal D. Cottage cheese

Correct Answer is A

Explanation

A. "Applesauce.": Applesauce is part of the BRAT diet (bananas, rice, applesauce, toast), which is recommended for managing diarrhea due to its low fiber content and ease of digestion.
B. "Orange slices.": Oranges are acidic and high in fiber, which can irritate the gastrointestinal tract and worsen diarrhea.
C. "Bran cereal.": Bran is high in fiber and can increase bowel movements, exacerbating diarrhea.
D. "Cottage cheese.": Dairy products can worsen diarrhea, especially if lactose intolerance develops due to gastrointestinal irritation.

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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?

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