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. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.

A. Purplish colored stoma B. No stool noted in the collection bag C. Edematous stoma D. Slight bleeding of the stoma site

Correct Answer is A

Explanation

A. Purplish colored stoma: A purplish colored stoma indicates compromised blood flow and possible necrosis, which is an emergency and must be reported immediately.
B. No stool noted in the collection bag: It is normal for there to be no stool in the collection bag 12 hours postoperatively as bowel function may not yet have resumed.
C. Edematous stoma: Edema of the stoma is common in the immediate postoperative period and usually subsides with time.
D. Slight bleeding of the stoma site: Slight bleeding at the stoma site can be normal immediately after surgery due to the manipulation of tissues.

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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

A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is caring for a client who requires a clear liquid diet. Which of the following foods should the nurse allow the client to have?

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