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 C

Explanation

A. "Encourage three large meals daily.": Smaller, more frequent meals are often better tolerated, especially if the client has nausea or anorexia.
B. "Season foods with spices.": Spices might irritate the gastrointestinal tract, particularly if mucosal lesions are present.
C. "Provide a high-calorie diet.": Clients with AIDS often have increased energy needs due to hypermetabolism and malnutrition; a high-calorie diet helps maintain weight and energy levels.
D. "Administer an antiemetic after each meal.": Antiemetics should be administered before meals to prevent nausea and improve food intake.

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 C

Explanation

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Correct Answer is A

Explanation

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