A nurse is collecting data from a client who is postoperative following placement of a colostomy in the ascending colon. In which of the following locations should the nurse expect to find the stoma?
A
B
C
The Correct Answer is A
A. Right upper quadrant is correct. A colostomy placed in the ascending colon is typically located in the right upper quadrant of the abdomen. The ascending colon runs along the right side of the abdomen, so the stoma will be located in that region.
B. Left lower quadrant is incorrect. The left lower quadrant is typically where the descending colon or sigmoid colon are located, so a colostomy placed here would be for those regions, not the ascending colon.
C. Left upper quadrant is incorrect. The left upper quadrant contains parts of the stomach, spleen, and pancreas, but not the ascending colon. A colostomy in the ascending colon would not be located here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Our child has a better grasp of reality.": This is not the primary goal of methylphenidate. While it may help with focus and attention, the medication's goal is to improve concentration and reduce hyperactive behaviors in children with ADHD, not directly influence their grasp of reality.
B. "Our child is able to complete his homework on time.": This is correct. Methylphenidate, a stimulant used to treat ADHD, helps improve attention, focus, and impulse control. A child who can complete homework on time demonstrates improved attention and task completion, which is the desired outcome.
C. "Our child has lost some weight since his last appointment.": While weight loss can be a side effect of methylphenidate, it is not an indicator that the medication is effective. The goal is to manage ADHD symptoms, not necessarily to cause weight loss.
D. "Our child has increased his daily caloric intake.": This is incorrect. A common side effect of methylphenidate is decreased appetite, so an increase in caloric intake would not be expected.
Correct Answer is D
Explanation
A. Taking ferrous sulfate on an empty stomach can increase absorption but often causes nausea and gastrointestinal upset. Clients are usually advised to take it with a small amount of food if stomach upset occurs.
B. Drinking more milk does not prevent constipation and can actually decrease the absorption of iron due to calcium content. Adequate fluids and fiber are recommended instead to manage constipation.
C. Black stools are a common and expected side effect of ferrous sulfate due to iron content. Reporting them is not necessary unless accompanied by other concerning symptoms like bleeding or abdominal pain.
D. Mixing ferrous sulfate elixir with a full glass of water helps dilute the medication, reducing irritation to the gastrointestinal tract. It also ensures proper dosing and facilitates easier swallowing of the liquid medication.
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