A nurse is preparing a preoperative patient for a sigmoid colostomy. What information should the nurse include in the discussion?

The stoma will be located in the lower left abdomen.

The stoma may appear purple.

The colostomy will not produce formed stool.

The end of the stoma may be painful after the procedure.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The stoma for a sigmoid colostomy is typically located in the lower left abdomen. This is because the sigmoid colon is a part of the large intestine that is located in the lower left quadrant of the abdomen.

Choice B rationale

A stoma should appear pink or red and moist. A purple stoma could indicate a lack of blood supply, which is a medical emergency.

Choice C rationale

A sigmoid colostomy will produce formed stool because the sigmoid colon is the last part of the colon, where water is absorbed and stool is formed.

Choice D rationale

The end of the stoma (the part that sticks out from the abdomen) should not be painful after the procedure. If a patient experiences pain, it could indicate a complication such as a blockage or infection.

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Correct Answer is B

Explanation

Choice A rationale

Excessive thirst and urination are symptoms of hyperglycemia, not hypoglycemia. Hyperglycemia could occur if the TPN solution was infusing too quickly, but it would not be a result of the infusion pump not working.

Choice B rationale

Shakiness and diaphoresis are manifestations of hypoglycemia. When a sudden interruption in the infusion of TPN occurs, the patient is at risk for hypoglycemia.

Choice C rationale

Fever and chills are symptoms of infection, not a direct result of the TPN infusion stopping.

Choice D rationale

Hypertension and crackles in the lungs are signs of fluid overload, not hypoglycemia. These symptoms would not be expected if the TPN infusion stopped.

A. Surgical debridement of the wound B. Increased drainage from the wound C. Documenting the wound status daily D. Increased monitoring of the wound condition

Correct Answer is A

Explanation

Choice A rationale

A black pressure ulcer indicates necrotic tissue, which often requires surgical debridement.

Choice B rationale

Increased drainage from the wound is not typically associated with a black pressure ulcer.

Choice C rationale

While documenting the wound status daily is part of wound care, it is not a specific event anticipated when planning care for a patient with a black pressure ulcer.

Choice D rationale

Increased monitoring of the wound condition is part of wound care, but it is not a specific event anticipated when planning care for a patient with a black pressure ulcer.

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A nurse is preparing a preoperative patient for a sigmoid colostomy. What information should the nurse include in the discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse finds that the infusion pump for a patient’s total parenteral nutrition (TPN) solution is not working. What condition should the nurse monitor the patient for?

Correct Answer is B

Explanation

The nurse notes that a patient has a black pressure ulcer on the left hip. Which event will the nurse anticipate when planning care for this patient?

Correct Answer is A

Explanation

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