A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

"You can expect fecal output within 24 hours."

"You may experience a small amount of bleeding around the stoma."

"You can expect the stoma to be purplish in color for the first week.

"You will need to increase your dietary intake of raw vegetables."

Answer and Explanation

The Correct Answer is B

A. "You can expect fecal output within 24 hours." Fecal output usually occurs within 2-4 days after surgery, not within 24 hours.
B. "You may experience a small amount of bleeding around the stoma." A small amount of bleeding around the stoma is normal, especially right after surgery.
C. "You can expect the stoma to be purplish in color for the first week." A healthy stoma should be pink to red. A purplish color could indicate poor blood supply and should be reported.
D. "You will need to increase your dietary intake of raw vegetables." Raw vegetables can cause gas and obstruction; clients are usually advised to avoid them initially.

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Correct Answer is B

Explanation

A. Introduce a regular diet: Introducing a regular diet is important but not the immediate priority.
B. Assess fluid balance: Assessing fluid balance is the priority to determine the extent of dehydration and guide rehydration therapy.
C. Rehydrate: Rehydration is crucial, but assessing fluid balance is necessary first to determine the appropriate rehydration method.
D. Maintain fluid therapy: Maintaining fluid therapy is important but comes after assessing the fluid balance to tailor the treatment accurately.

A. Homemade hash browns 1⁄2 cup B. Potato salad 1⁄2 cup C. Mashed potatoes 1⁄2 cup D. Ten french fries

Correct Answer is C

Explanation

A. Homemade hash browns 1⁄2 cup: Homemade hash browns may be lower in fat than commercially prepared versions, but they still usually involve frying in oil or butter, making them a higher-fat option compared to some others.
B. Potato salad 1⁄2 cup: Potato salad typically contains mayonnaise, which is high in fat, making it a less suitable choice for a low-fat diet.
C. Mashed potatoes 1⁄2 cup: Mashed potatoes can be made with lower-fat options like skim milk or broth instead of cream and butter. This makes them a more flexible and potentially lower-fat option if prepared correctly.
D. Ten french fries: French fries are deep-fried in oil, which makes them high in fat, even in small quantities.

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A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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