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. .

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Sleeping flat on the back worsens symptoms of gastroesophageal reflux (GERD) due to the effects of gravity, which allow stomach acid to flow back into the esophagus. Elevating the head during sleep is recommended to reduce acid reflux and prevent esophageal irritation.

Choice B rationale

Lying down immediately after meals increases the risk of reflux because gravity cannot assist in keeping stomach contents in place. It is recommended to remain upright for at least 2-3 hours after eating to reduce the likelihood of acid regurgitation.

Choice C rationale

Orange juice is acidic and may exacerbate GERD symptoms by irritating the esophageal lining. Clients with GERD are advised to avoid citrus and other acidic foods to minimize discomfort and promote healing of the affected tissues.

Choice D rationale

Eating six small meals per day reduces the likelihood of reflux by preventing the stomach from becoming overly distended. Large meals increase gastric pressure, which contributes to acid reflux, while smaller, more frequent meals help maintain normal digestive function.

A. Use honey instead of white sugar. B. Take sucralfate 30 minutes before eating. C. Lie down for 30 minutes after eating. D. Drink at least 100 milliliters of liquid with meals.

Correct Answer is C

Explanation

Choice A rationale

Honey has similar sugar content as white sugar and contributes to rapid gastric emptying, leading to dumping syndrome in postoperative bariatric surgery clients. Dumping syndrome results from a rapid influx of hyperosmolar contents into the intestines, causing osmotic fluid shifts and gastrointestinal symptoms.

Choice B rationale

Sucralfate is a medication used to treat ulcers and does not influence gastric emptying rates or reduce the risk of dumping syndrome. It does not mitigate the physiological process leading to dumping syndrome.

Choice C rationale

Lying down after meals slows gastric emptying and reduces the rapid movement of food into the small intestine. This decreases the risk of dumping syndrome by mitigating osmotic fluid shifts and symptoms such as nausea and diarrhea.

Choice D rationale

Drinking liquids with meals accelerates gastric emptying by diluting stomach contents, increasing the risk of dumping syndrome. The rapid transit of liquids and food promotes hyperosmolarity in the intestines and associated symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 gastroesophageal reflux (GERD). Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery.To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has AIDS and malnutrition.Which of the following actions should the nurse include in the plan of care?

A nurse is collecting data from a client about her current pain status.Which of the following Questions should the nurse ask to determine the quality of the client's pain?

A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past days and is now beginning solid foods.Which of the following foods should the nurse include in the plan of care?

A nurse is monitoring a client who is receiving a transfusion of packed RBCs.Which of the following findings should the nurse identify as an indication that the client should receive diphenhydramine?

A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration.Which of the following statements should the nurse include in the teaching?

A nurse is assisting with the care of a client.The laboratory results indicate abnormalities.Which of the following actions should the nurse take?

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter.

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?