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 A
Explanation
A. Maintaining the client on NPO (nothing by mouth) status is essential in the management of acute pancreatitis. This helps to rest the pancreas and prevent stimulation of pancreatic enzyme production, which can worsen the condition.
B. Monitoring for hypercalcemia is not a primary focus in acute pancreatitis. Hypocalcemia, rather than hypercalcemia, is more commonly associated with pancreatitis due to the deposition of calcium in areas of fat necrosis.
C. Administering antihypertensive medications is not a priority in the initial management of acute pancreatitis unless the client is also experiencing hypertension. The focus should be on fluid management and preventing complications like infection and shock.
D. Placing the client in a supine position is not recommended for acute pancreatitis. The client should be positioned in a semi-Fowler's position to reduce abdominal pressure and promote comfort.
Correct Answer is A
Explanation
A. Isoniazid (INH) can cause liver toxicity, so it is important for the client to have regular liver function tests while taking the medication to monitor for any potential liver damage.
B. Isoniazid is typically prescribed for a longer duration, often 6 to 9 months, for the treatment of tuberculosis. A 1-week course is not sufficient for tuberculosis treatment.
C. Isoniazid does not typically cause an increase in blood pressure. This statement is not accurate regarding the medication’s side effects.
D. Isoniazid should not be taken with antacids because antacids can interfere with the absorption of the medication. Therefore, the client should avoid taking antacids with INH.
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