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.

Accepts that sexual activity will decrease.

Participates in performing ostomy care.

Denies feelings of sadness about the ostomy.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Preferring not to look at the stoma site indicates difficulty accepting the altered body image and is often associated with feelings of denial or embarrassment. Acceptance is typically demonstrated through engagement in self-care activities.

Choice B rationale

Associating acceptance with decreased sexual activity is inaccurate, as altered body image does not directly predict changes in sexual behavior. Acceptance is better indicated by the client’s emotional adjustment and active participation in care.

Choice C rationale

Participating in ostomy care demonstrates acceptance by showing the client is willing to engage in managing their new body function. This indicates an understanding and integration of the change into their daily life.

Choice D rationale

Denying feelings of sadness about the ostomy may reflect emotional suppression rather than true acceptance. Acceptance involves acknowledging emotions and adapting positively to the new situation. .

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Correct Answer is ["1.7"]

Explanation

Step 1 is (150 lb × 1 kg ÷ 2.2 lb) × 250 units. This calculates the total units required. The answer is 17045.45 units.

Step 2 is 17045.45 units ÷ 10,000 units/mL = 1.7 mL.

The final calculated answer is 1.7 mL.

A. Echinacea. B. Ginkgo biloba. C. Probiotics. D. Flaxseed powder.

Correct Answer is B

Explanation

Choice A rationale

Echinacea has immunomodulatory effects, potentially boosting immunity. While it interacts with some medications, its usage does not pose significant risks with anticoagulants like enoxaparin unless combined with other supplements or medications causing immune changes.

Choice B rationale

Ginkgo biloba increases the risk of bleeding due to its antiplatelet effects, which can compound the anticoagulant effects of enoxaparin. This interaction requires reporting to the provider to adjust or monitor anticoagulant therapy accordingly.

Choice C rationale

Probiotics support gut health but do not interact significantly with anticoagulants or alter coagulation parameters. Their usage can generally be continued unless specific contraindications arise with concurrent conditions or medications.

Choice D rationale

Flaxseed powder is a source of omega-3 fatty acids, which may have mild anticoagulant effects. However, this interaction is not typically strong enough to warrant reporting unless combined with other supplements affecting coagulation.

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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 preparing to administer heparin 250 units/kg subcutaneously to a client who weighs 150 lb. The heparin is available in a prefilled syringe containing 10,000 units/mL. How many mL should the nurse administer?

Correct Answer is ["1.7"]

Explanation

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Correct Answer is B

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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?