A nurse is reinforcing teaching for a client who has a new ascending colostomy. Which of the following comments by the client indicates an understanding of the teaching?
I will irrigate the colostomy every day.
I will notify my doctor if the stoma starts to look purple.
I will no longer be able to eat nuts.
I should expect my stool to be formed.
The Correct Answer is B
I will notify my doctor if the stoma starts to look purple
The comment by the client indicating an understanding of the teaching is option B: "I will notify my doctor if the stoma starts to look purple."
I will irrigate the colostomy every day in (option A) is incorrect. Colostomy irrigation is not necessary for all clients with an ascending colostomy. It is important to individualize the teaching based on the client's specific needs and healthcare provider's instructions. Routine colostomy irrigation may not be required, and the client should follow the healthcare provider's guidance regarding colostomy care.
I will no longer be able to eat nuts in (option C) is incorrect. There are generally no dietary restrictions for clients with an ascending colostomy, unless otherwise advised by their healthcare provider. It is important to provide accurate information about dietary considerations, which may vary based on individual circumstances and healthcare provider recommendations.
I should expect my stool to be formed in (option D) is incorrect. With an ascending colostomy, the stool is typically liquid or semi-liquid as it comes from the ascending colon, which is higher in the gastrointestinal tract. The stool is not expected to be formed. It is important for the client to have appropriate expectations regarding stool consistency to manage their colostomy effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should intervene when the AP raises all four side rails on the client's bed. While it is important to ensure the client's safety and minimize the risk of falls, raising all four side rails can be considered a restraint and may not be the best practice for fall prevention. The use of physical restraints, including all four side rails, can lead to adverse outcomes such as entrapment, increased agitation, and decreased mobility.
A. Locking the wheels on the client's bed: This is an appropriate action to prevent the bed from rolling and ensure stability.
B. Clearing furniture from the path leading to the bathroom: This is a good practice as it creates a clear and safe path for the client to walk without obstacles.
C. Assisting the client to the bathroom every 2 hours: This is a proactive measure to prevent falls by ensuring regular toileting and minimizing the need for the client to get up and move independently.
It's important to promote mobility and independence for the client while ensuring their safety.
Correct Answer is A
Explanation
A.Preschoolers often think in magical or egocentric ways and may believe that death is a punishment for something they or others did wrong. This belief reflects their developmental stage, where they may not understand the abstract concept of death and may interpret it in relation to their own actions or behaviors.
B.Preschoolers may have difficulty understanding the permanence of death. They might think that the deceased parent will wake up eventually or return, as their grasp on the concept of permanence is not fully developed.
C.While preschoolers may be curious about many things, including new experiences, their understanding of a funeral and its significance may be limited. They might not fully grasp the meaning behind the service but may ask questions out of curiosity.
D.Preschoolers typically do not have a concrete understanding of the concept of death or the inevitability of death for everyone. Their understanding is usually very limited and concrete, so this would not be consistent with their developmental stage.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today