A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[53.828125,93.828125],\"yRanges\":[164,204]}"
A. The stoma from a transverse colon resection with colostomy placement is typically located in the right iliac fossa, which is the lower right quadrant of the abdomen. This is where the transverse colon is most often brought to the surface for colostomy placement. It allows for easier access and drainage postoperatively.
B. The epigastric area, which is located above the umbilicus, is not a typical location for a colostomy stoma. This area is more commonly associated with upper abdominal organs such as the stomach and liver.
C. The left iliac fossa is generally where a descending or sigmoid colostomy would be placed, rather than a transverse colon resection. This location would be expected for colostomies created from the descending colon, not the transverse colon.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Offering the dog water may not be appropriate unless the client requests it. The dog is working and may not need a break at that moment. Offering water without consulting the client could be intrusive.
B. Petting the dog is not appropriate unless the client specifically invites it. Service dogs are working animals and should not be distracted by strangers petting them.
C. Consulting the client before approaching the dog is the most respectful approach. Service dogs are vital to their handlers, and the nurse should always ask the client’s permission before interacting with the dog. This ensures that the handler's needs and the dog’s working status are respected.
D. Commanding the dog to sit is not appropriate unless directed by the client. The service dog is trained to respond to the client’s commands, and the nurse should not give commands to the dog unless the client asks for assistance.
Correct Answer is C
Explanation
A. While the pharmacy may be able to provide information on generic alternatives, the nurse should not direct the client to contact the pharmacy for a different medication. The provider is the one who can assess and prescribe alternative medications if necessary.
B. The occupational therapist may not be the appropriate professional to address financial concerns related to medication costs. A social worker is more likely to have the resources and knowledge to assist with these concerns.
C. Arranging for a social worker to assist the client with financial concerns related to medication is the most appropriate action. Social workers can connect clients with resources such as financial assistance programs, insurance options, or discount programs.
D. While the provider may be able to prescribe a cheaper medication, the nurse should not suggest this as the first course of action. A social worker is better suited to help explore the financial situation and provide resources.
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