A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

Soft, unformed stools

Purplish stoma

Noticeable stool odor

Slight bleeding around the stoma

Answer and Explanation

The Correct Answer is B

A. "Soft, unformed stools.": This can be expected, depending on the location of the colostomy.
B. "Purplish stoma." A purplish stoma suggests compromised blood flow, which is a medical emergency.
C. "Noticeable stool odor.": Odor is normal with colostomies unless accompanied by infection or other symptoms.
D. "Slight bleeding around the stoma.": Minimal bleeding during cleaning is common and expected initially.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Blood pressure: The client’s blood pressure (92/60 mm Hg) is low, which is concerning, especially with tachycardia (HR 106). This may indicate hypovolemia or shock, which requires immediate attention.
B. BUN level: The BUN level (25 mg/dL) is elevated above the normal range, which could indicate dehydration or kidney dysfunction, often seen in conditions like gastrointestinal obstruction or sepsis.
C. Potassium level: The potassium level (3.3 mEq/L) is below the normal range (3.5 to 5 mEq/L), which can contribute to arrhythmias and muscle weakness, often a result of vomiting, diarrhea, or dehydration.
D. Abdominal findings: The high-pitched bowel sounds and tenderness are consistent with an intestinal obstruction, and further assessment and intervention are necessary to manage the condition effectively.
E. WBC count: The WBC count (9,000/mm³) is within the normal range, suggesting no active infection or inflammation at the moment.
F. Breath sounds: Bilateral breath sounds are clear, which suggests no current respiratory issues or pneumonia, allowing the focus to remain on gastrointestinal findings.

A. Canola oil B. Butter C. Vegetable shortening D. Lard

Correct Answer is A

Explanation

A. "Canola oil.": Canola oil is low in saturated fats and high in monounsaturated fats, which are heart-healthy and help reduce cardiovascular risk.
B. "Butter.": Butter contains high levels of saturated fats, which can increase LDL cholesterol.
C. "Vegetable shortening.": Shortening contains trans fats, which are harmful to cardiovascular health.
D. "Lard.": Lard is high in saturated fats and is not recommended for individuals at risk of cardiovascular disease.

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A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D"]

Explanation

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Correct Answer is A

Explanation

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