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 D

Explanation

A. Decreased bowel sounds: Hypocalcemia typically causes increased neuromuscular excitability, which can lead to increased bowel sounds.
B. Dry, sticky mucous membranes: Dry, sticky mucous membranes are more indicative of dehydration or hypernatremia.
C. Hypoactive deep-tendon reflexes: Hypocalcemia usually causes hyperactive deep-tendon reflexes, not hypoactive.
D. Numbness of extremities: Numbness and tingling in the extremities are common symptoms of hypocalcemia due to increased neuromuscular excitability.

A. Massage the injection site after administration of the medication. B. inject the medication into the abdomen above the level of the iliac crest C. Use a 1-inch needle to inject the medication. D. Use a 22-gauge needle to inject the medication.

Correct Answer is B

Explanation

A. Massage the injection site after administration of the medication. Massaging the site after heparin injection can cause bruising and should be avoided.
B. Inject the medication into the abdomen above the level of the iliac crest: This is the recommended site for subcutaneous heparin injections.
C. Use a 1-inch needle to inject the medication. A shorter needle (5/8 inch) is typically used for subcutaneous injections, not a 1-inch needle.
D. Use a 22-gauge needle to inject the medication: A smaller gauge needle (25 to 27 gauge) is typically used for subcutaneous injections, not 22-gauge.

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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?

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