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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Drinking contrast medium is not typically required for an esophagogastroduodenoscopy (EGD). Contrast media are often used in imaging studies such as CT scans or certain types of X- rays, not for EGD45.

Choice B rationale

Shaving the client from axillae to groin is not necessary for an EGD. This might be required for certain types of surgeries, but an EGD is a non-surgical procedure that involves inserting a flexible tube with a light and camera into the esophagus, stomach, and duodenum.

Choice C rationale

Ensuring the signed consent is in the medical record is crucial before any procedure, including an EGD45678. It is a legal and ethical requirement that ensures the client is informed about the procedure, its purpose, its risks and benefits, and any alternatives.

Choice D rationale

Administering a cleansing enema is not typically required for an EGD. While bowel preparation, such as using a laxative or enema, might be necessary before some procedures like a colonoscopy, it is not usually needed for an EGD45.

A. The skin around the patient’s stoma is bulging. B. The stoma protrudes 2 cm (0.8 in) above the patient’s abdominal wall. C. The patient’s stoma is moist and beefy red. D. The patient has had no fecal output from the stoma.

Correct Answer is D

Explanation

Choice A rationale

Bulging skin around the stoma can be a sign of a hernia, but it’s not uncommon in the early postoperative period. It should be monitored, but it’s not typically a cause for immediate concern.

Choice B rationale

A stoma that protrudes 2 cm (0.8 in) above the abdominal wall is considered normal. The stoma should protrude above the skin to prevent stool from coming into contact with the skin, which can cause irritation and breakdown.

Choice C rationale

A stoma that is moist and beefy red is a sign of a healthy stoma. This indicates that the stoma has a good blood supply and is not ischemic or necrotic.

Choice D rationale

No fecal output from the stoma 24 hours after surgery could indicate a blockage or other complication and should be reported to the provider immediately.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client scheduled to undergo an esophagogastroduodenoscopy. What action should the nurse take in preparation for the procedure?

Correct Answer is C

Explanation

A nurse is assisting with postoperative care of a patient who had surgery for creation of a colostomy 24 hours ago. Which findings should the nurse report to the provider?

Correct Answer is D

Explanation

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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?