A nurse is teaching a client who has a new colostomy. Which of the following outcomes should the nurse expect?

increase in need for pain medication

Report of empowerment

increase in length of care in the health care facility

Report of anxiety

Answer and Explanation

The Correct Answer is B

Choice A reason: Increasing need for pain medication is not a typical outcome expected when a client is educated about their new colostomy. Proper education can help manage and reduce pain through better understanding and care techniques. The objective is often to reduce discomfort by teaching clients how to care for their colostomy properly, thus reducing complications and the associated pain.
Choice B reason: Report of empowerment is the expected outcome. Education aims to make the client feel capable and confident in managing their new condition. Empowerment indicates that the client understands their condition and feels confident in their ability to manage their colostomy, which can improve their overall quality of life and reduce the psychological impact of the procedure. Empowerment also helps in reducing the dependency on healthcare professionals and promotes self-care.
Choice C reason: An increase in the length of care in the healthcare facility is not an expected outcome. Proper patient education should ideally reduce the length of stay in the healthcare facility by equipping the client with the knowledge and skills needed to manage their colostomy at home, thus reducing the need for prolonged hospital stays.
Choice D reason: Reporting of anxiety is not the desired outcome. While some initial anxiety might be expected, the goal of patient education is to reduce anxiety by providing the client with the necessary information and skills to feel confident in managing their colostomy. Effective education should help alleviate anxiety by addressing concerns and providing support and reassurance.

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Correct Answer is C

Explanation

Choice A reason: The use of a colostomy bag is expected following surgery for colorectal cancer that involves the creation of a stoma. This does not indicate a complication.
Choice B reason: A loss of appetite is common after major surgery and can be managed with nutritional support and gradual reintroduction of food.
Choice C reason: Absent bowel sounds in the lower abdominal quadrants could indicate a paralytic ileus or bowel obstruction, which are serious complications requiring immediate intervention to prevent further issues such as bowel ischemia.
Choice D reason: Mild pain at the surgical site is expected and can be managed with prescribed pain medications. It does not indicate a serious complication.

A. Serum creatinine 6 mg/dL B. Serum potassium 4.5 mEq/L C. Hemoglobin 16 g/dL D. BUN 15 mg/dL

Correct Answer is A

Explanation

Choice A reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury (AKI). Normal creatinine levels are typically around 0.6 to 1.2 mg/dL for adults, so this level suggests severe kidney impairment.
Choice B reason: A serum potassium level of 4.5 mEq/L is within the normal range (3.5-5.0 mEq/L) and does not indicate acute kidney injury. Elevated potassium can be seen in AKI but is not the most specific indicator without other abnormal values.
Choice C reason: A hemoglobin level of 16 g/dL is within the normal range for adults (approximately 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women). It does not indicate acute kidney injury.
Choice D reason: A BUN level of 15 mg/dL is within the normal range (7-20 mg/dL) and does not indicate acute kidney injury on its own. Elevated BUN in conjunction with elevated creatinine would be more indicative of AKI.

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A nurse is teaching a client who has a new colostomy. Which of the following outcomes should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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