A nurse is collecting data from a patient who has a newly placed colostomy.
Which of the following findings would indicate to the nurse that the patient has accepted their new altered body image?
Accepts that sexual activity will decrease.
Denies feelings of sadness about the ostomy.
Participates in performing ostomy care.
Prefers not to look at the stoma site.
The Correct Answer is C
Choice A rationale
Accepting that sexual activity will decrease does not necessarily indicate acceptance of a new altered body image. It may reflect a misunderstanding or fear about the impact of the colostomy.
Choice B rationale
Denying feelings of sadness about the ostomy does not necessarily indicate acceptance of a new altered body image. It may suggest that the patient is not fully acknowledging the emotional impact of the change.
Choice C rationale
Participating in performing ostomy care is a positive sign that the patient has accepted their new altered body image. It shows that the patient is taking an active role in their care and adapting to the change.
Choice D rationale
Preferring not to look at the stoma site does not indicate acceptance of a new altered body image. It may suggest avoidance or denial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Comparing the current blood pressure reading to the preoperative value is the first step the nurse should take. This will help determine if the patient’s blood pressure has significantly dropped, which could indicate hypovolemia or shock.
Choice B rationale
Covering the patient with a warm blanket may be helpful if the patient is feeling cold or showing signs of hypothermia, but it would not address the underlying cause of the low blood pressure.
Choice C rationale
Increasing the IV flow rate might be necessary if the patient is hypovolemic, but this decision should be based on additional assessment data and physician orders.
Choice D rationale
Reassuring the patient is important, but it should not be the first action. The nurse needs to assess and address the cause of the low blood pressure.
Correct Answer is A
Explanation
Choice A rationale
When a patient is initiating IV therapy, one of the tasks a nurse may perform is administering IV fluids with a potassium supplement. This is a common task in IV therapy. Therefore, this choice is correct.
Choice B rationale
Administering pain medication could be a part of a nurse’s responsibilities, but it is not specific to the initiation of IV therapy. Therefore, this choice is incorrect.
Choice C rationale
Inserting a nasogastric tube is not a task associated with initiating IV therapy. Therefore, this choice is incorrect.
Choice D rationale
Requesting a prescription for an antiemetic is not a task associated with initiating IV therapy. Therefore, this choice is incorrect.
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