A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

"You should scrub the skin around the colostomy when cleaning."

"You can use an adhesive remover when changing the colostomy skin barrier."

"You will need a device to suction stool from the colostomy bag."

"You should empty the colostomy bag when it is three-fourths full."

Answer and Explanation

The Correct Answer is B

b. "You can use an adhesive remover when changing the colostomy skin barrier."

The nurse should inform the client that they can use an adhesive remover when changing the colostomy skin barrier. Adhesive removers are helpful in gently removing the adhesive residue left behind by the previous ostomy appliance. This can make the process of changing the colostomy skin barrier more comfortable for the client and help prevent skin irritation or damage.

Explanation for the other options:

a. "You should scrub the skin around the colostomy when cleaning." Scrubbing the skin around the colostomy can be harsh and may cause skin irritation or damage. It is recommended to clean the peristomal skin gently using mild soap and water, followed by thorough drying.

c. "You will need a device to suction stool from the colostomy bag." Suctioning stool from the colostomy bag is not a routine procedure for colostomy care. Colostomy bags are designed to collect stool, and emptying the bag as needed is the appropriate method of management.

d. "You should empty the colostomy bag when it is three-fourths full." The timing of emptying the colostomy bag may vary for each individual. It is generally recommended to empty the colostomy bag when it is one-third to one-half full to prevent leakage or discomfort. The client should be educated on monitoring the bag and emptying it as necessary based on their own output and comfort level.

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Correct Answer is C

Explanation

Yogurt is a beneficial food for individuals with IBS for several reasons: Yogurt contains live beneficial bacteria, known as probiotics, which can help regulate the balance of gut bacteria. Probiotics may improve digestive health and reduce symptoms such as bloating, gas, and diarrhea in some individuals with IBS. Yogurt is a good source of calcium, which is an essential nutrient for overall health and plays a role in maintaining normal digestive function.

Ice cream is not typically recommended for individuals with IBS. It contains high amounts of fat and lactose, which can worsen symptoms such as bloating, gas, and diarrhea in some individuals with IBS. Moreover, some people with IBS may be sensitive to dairy products.

Honey is generally well-tolerated by individuals with IBS. However, it does not offer specific benefits for managing IBS symptoms. Its inclusion in the diet would depend on individual preferences and tolerances.

Watermelon is a low-FODMAP fruit, which means it is generally well-tolerated by individuals with IBS. It can be a refreshing and hydrating option. However, its inclusion in the diet would depend on individual preferences and tolerances.

A. "You can resume a regular diet 3 days after your procedure." B. "You can take a shower 1 day after your procedure." C. "You can begin exercising 2 days after your procedure." D. "You can return to school 1 week after your procedure."

Correct Answer is B

Explanation

The instruction that the nurse should include is "You can take a shower 1 day after your procedure." According to the Cleveland Clinic, the morning after the procedure, the client may take the dressing oﬀ the catheter insertion site. The easiest way to do this is when showering, get the tape and dressing wet and remove it.

Option a is incorrect because there is no information suggesting that a client must wait 3 days before resuming a regular diet after a cardiac catheterization.

Option c is incorrect because according to the Cleveland Clinic, clients should gradually increase their activities until they reach their normal activity level within one week after the procedure.

Option d is incorrect because there is no information suggesting that a client must wait 1 week before returning to school after cardiac catheterization.

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A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

Nursing Test Bank

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