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
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.

A. Bulging at the hernia site. B. Reports of mild discomfort. C. A bulge that disappears when lying down. D. Reports of nausea and vomiting.

Correct Answer is D

Explanation

Choice A rationale

While a bulge at the hernia site is a common symptom of an umbilical hernia, it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice B rationale
Mild discomfort may be associated with an umbilical hernia, but it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice C rationale
A bulge that disappears when lying down is a common characteristic of an umbilical hernia and is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice D rationale
Nausea and vomiting could indicate that the hernia has become strangulated, which is a medical emergency. Strangulation occurs when the blood supply to the herniated tissue is cut off. This is a serious complication that requires immediate medical attention.
Question 50.

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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 contributing to the care plan for a patient who has acute pancreatitis. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

The nurse is caring for a patient with an umbilical hernia. Which symptom should prompt the nurse to alert the healthcare provider?

Correct Answer is D

Explanation

A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

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

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

A nurse is preparing to administer acetaminophen 650 mg PO to a patient. The available amount is acetaminophen 325 mg/tablet. How many tablets should the nurse administer?

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?

The nurse is collecting data for a client with abdominal pain. Which pain description is consistent with diverticulitis?

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?