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 C

Explanation

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

A. History of ibuprofen use B. Drinks green tea C. Consumes spicy foods 5 to 8 times weekly D. History of bulimia .

Correct Answer is A

Explanation

Choice A rationale
Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, is a risk factor for peptic ulcers. These medications can irritate the stomach lining and increase the risk of ulcers.
Choice B rationale
Drinking green tea is not typically associated with an increased risk of peptic ulcers.
Choice C rationale
Consuming spicy foods can exacerbate the symptoms of a peptic ulcer, but it is not a primary risk factor for the development of the condition.
Choice D rationale
A history of bulimia can contribute to a variety of health problems, but it is not a primary risk factor for peptic ulcers. Dumping syndromeDumping syndrome Explore

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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 patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

Correct Answer is C

Explanation

A nurse is examining the medical record of a patient who has a peptic ulcer. Which of the following factors should the nurse identify as a risk for this condition?

Correct Answer is A

Explanation

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?

A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?

The nurse is reviewing the medical record of a patient with peritonitis. Which prescription should prompt the nurse to seek clarification from the gastroenterologist?

The nurse is preparing to administer a soapsuds enema to a client. Which position should the client be in to administer the enema?

The nurse provides education for a patient about the treatment for acute gastritis. Which patient statement requires correction by the nurse?

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 nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place.Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply)

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?