A nurse is providing care for a young adult patient who has ulcerative colitis and is scheduled for an ileostomy surgery.
After a discussion with the healthcare provider, the patient expresses concern, “How will I ever be able to have a normal life after this?”

How should the nurse respond?

“Can you share how you think having the ileostomy will affect you?”

“Everyone worries about how they will manage their ileostomy at first.”.

“This will cure your disease so you don’t spend so much time in the hospital.”.

“Let’s discuss some strategies to help you adapt to life with an ileostomy.”. .

Answer and Explanation

The Correct Answer is A

Choice A rationale

Asking the patient to share their concerns allows the nurse to understand the patient’s perspective and provide individualized care. It opens up a dialogue where the patient can express their fears and the nurse can provide reassurance and information.
Choice B rationale
While it’s true that many people worry about managing an ileostomy at first, this response does not address the patient’s specific concerns. It’s important to understand the patient’s individual fears and worries.

Choice C rationale
This response may be misleading. While an ileostomy can help manage the symptoms of ulcerative colitis, it does not cure the disease. It’s important to provide accurate information to the patient.

Choice D rationale
Discussing strategies to adapt to life with an ileostomy can be helpful, but it’s important to first understand the patient’s specific concerns. This response assumes what the patient needs without asking them.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

• Increase fiber intake: This is nonessential at this time. While a high-fiber diet can help prevent future episodes of diverticulitis, it won’t help in the acute phase, especially when the client is unable to eat or drink without vomiting.
• CT of the abdomen with contrast: This is an anticipated action. A CT scan can help confirm the diagnosis of diverticulitis and assess the severity of the condition.
• Flexible sigmoidoscopy: This is an anticipated action. A flexible sigmoidoscopy can help visualize the diverticula and assess the extent of the inflammation.

• Change IV fluids to 0.9% sodium chloride with KCl: This is an anticipated action. The client is likely dehydrated due to vomiting and unable to take oral fluids, so IV hydration is necessary. The client’s potassium level is at the lower end of the normal range, so adding KCl to the IV fluids can help prevent hypokalemia.
• Type and crossmatch blood: This is an anticipated action. The client has a positive stool occult blood test and a lower than normal hemoglobin and hematocrit, suggesting that he may be experiencing bleeding. It’s important to have blood ready for a transfusion if necessary.
• Administer IV piperacillin-tazobactam: This is contraindicated. Piperacillin-tazobactam is a penicillin-based antibiotic, and the client has a known allergy to penicillin. Another class of antibiotics should be used. Please note that these are potential actions and the healthcare provider should be informed immediately for further evaluation and management. It’s important to continue following the provider’s prescriptions and closely monitor the client’s condition.

A. Taking histamine receptor antagonist medication as prescribed B. Elevating the head of the bed on 6-inch blocks C. Lying down after meals D. Consuming small, frequent, bland meals

Correct Answer is C

Explanation

Choice A rationale
Taking histamine receptor antagonist medication as prescribed can help manage the symptoms of a hiatal hernia by reducing the production of stomach acid. This statement does not require correction.
Choice B rationale
Elevating the head of the bed on 6-inch blocks can help manage the symptoms of a hiatal hernia by using gravity to keep stomach acid from flowing back into the esophagus. This statement does not require correction.
Choice C rationale
Lying down after meals can exacerbate the symptoms of a hiatal hernia by making it easier for stomach acid to flow back into the esophagus. This action should be avoided.
Choice D rationale
Consuming small, frequent, bland meals can help manage the symptoms of a hiatal hernia by reducing the amount of stomach acid produced and preventing the stomach from becoming too full. This statement does not require correction.

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A nurse is providing care for a young adult patient who has ulcerative colitis and is scheduled for an ileostomy surgery. After a discussion with the healthcare provider, the patient expresses concern, “How will I ever be able to have a normal life after this?” How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 45-year-old male client in the emergency department who reports severe abdominal pain. Exhibits Based on the information provided, which of the following provider’s prescriptions are anticipated, nonessential, or contraindicated for the client? Select one response per row.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

A patient with a chronic hiatal hernia experiences the following. Which action should the nurse advise the patient to avoid?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

The nurse is gathering information from a patient with abdominal pain. Which description of pain is consistent with diverticulitis?

The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?

The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

A client has been diagnosed with acute gastroenteritis. What diet would the nurse expect to be prescribed for the client?

A nurse is preparing a presentation for colleagues about various herbal remedies that patients might use. Which herbal supplement might patients use to treat diarrhea, irritable bowel syndrome (IBS), and ulcerative colitis?

A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

The nurse is caring for a patient with a condition.The nurse understands that the patient is at risk for vitamin deficiency. What is the condition?

A nurse is providing care for a young adult patient who has ulcerative colitis and is scheduled for an ileostomy surgery.
After a discussion with the healthcare provider, the patient expresses concern, “How will I ever be able to have a normal life after this?”

How should the nurse respond?