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: Neutrophils at 3,000/mm might indicate an infection, but for acute appendicitis, one would expect to see a significant increase in the overall white blood cell count rather than just the neutrophils.
Choice B reason: Lymphocytes at 3,000/mm do not specifically indicate acute appendicitis. Lymphocyte counts are more commonly elevated in viral infections rather than bacterial ones like appendicitis.
Choice C reason: A WBC count of 17,000/mm is indicative of an acute bacterial infection like appendicitis. The elevated WBC count shows the body’s response to the infection, making this the most accurate indicator among the options provided.
Choice D reason: RBC at 4.2 million/mm is within the normal range and does not provide specific information related to acute appendicitis. This value is unrelated to the acute inflammatory process expected in appendicitis.

A. "I clean the inside of the container with a wipe." B. "I urinate a little then stop." C. "I'll use the cleansing wipe from front to back." D. "I'll use each cleansing wipe twice."

Correct Answer is C

Explanation

Choice A reason: Cleaning the inside of the container with a wipe is not a part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample, rather than cleaning the container itself.
Choice B reason: Urinating a little then stopping, while part of the process, is not enough information to indicate a complete understanding of the procedure. The more critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised. It can lead to contamination as the same wipe might transfer bacteria instead of eliminating them. It is essential to use a new wipe for each part of the cleaning process to maintain hygiene and ensure the accuracy of the urine sample.

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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

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing this client's laboratory values?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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