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.)

Answer and Explanation

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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Correct Answer is D

Explanation

A. Clean surfaces with chlorhexidine is not appropriate for Clostridium difficile (C. difficile). The recommended cleaning agent for C. difficile spores is bleach, not chlorhexidine, as bleach is effective in killing the spores.

B. Place the client in a protective environment is not necessary for C. difficile. Protective environments are typically used for clients with immunocompromised states, such as those undergoing chemotherapy or bone marrow transplants, not for clients with C. difficile.

C. Wash hands with alcohol-based hand rub is not effective for C. difficile. Alcohol-based hand sanitizers do not kill C. difficile spores. The recommended method for hand hygiene is washing with soap and water to physically remove the spores.

D. Obtain a stool specimen with gloves is the correct action. When collecting a stool specimen from a client with C. difficile, gloves should always be worn to prevent transmission of the bacteria. C. difficile is highly contagious and requires strict infection control practices.

A. Limit fluids to 1.5 L per day. B. Avoid getting a flu vaccination. C. Avoid extremely hot or cold temperatures. D. Limit alcohol intake to one drink per day.

Correct Answer is C

Explanation

A. Limiting fluids to 1.5 L per day is not appropriate for a client recovering from a sickle cell crisis. Adequate hydration is essential to help prevent further sickling of red blood cells and to promote overall circulation.

B. Avoiding the flu vaccination is incorrect. Vaccination, including the flu vaccine, is recommended for individuals with sickle cell disease to reduce the risk of infections, which can trigger a crisis.

C. Avoiding extremely hot or cold temperatures is important for individuals with sickle cell disease. Extreme temperatures can cause vasoconstriction or vasodilation, which may exacerbate sickling and increase the risk of a crisis.

D. Limiting alcohol intake to one drink per day may be advised for general health, but it is not as directly relevant to managing sickle cell disease. Hydration and avoiding stressors such as extreme temperatures are more critical.

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has Clostridium difficile gastroenteritis. Which of the following is an appropriate nursing action?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?

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A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

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