A nurse is teaching a dent who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
"Your colostomy will not produce formed steel.”
"You will have a stoma in your left lower abdomen.”
"You should expect your store to be a purple color."
“The end of the stoma will be painful after this procedure.”
The Correct Answer is B
A. "Your colostomy will not produce formed stool.” A sigmoid colostomy produces formed stool because it is at the end of the large intestine, where water is absorbed.
B. "You will have a stoma in your left lower abdomen." A sigmoid colostomy is placed in the left lower quadrant (LLQ) of the abdomen.
C. "You should expect your stoma to be a purple color." A healthy stoma should be pink to red and moist. A purple, dusky, or dark-colored stoma may indicate ischemia and requires immediate evaluation.
D. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. However, the surrounding abdominal incision may be sore.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hirschsprung's disease: Hirschsprung’s disease is caused by a congenital absence of ganglion cells in the colon, leading to impaired peristalsis and mechanical obstruction. This condition presents with symptoms such as delayed meconium passage, abdominal distention, and constipation.
B. Pyloric stenosis: Pyloric stenosis is characterized by hypertrophy of the pylorus, causing gastric outlet obstruction. It presents with projectile vomiting rather than mechanical obstruction of the lower intestine.
C. Crohn’s disease: Crohn’s disease is an inflammatory bowel condition, not a congenital disorder of motility. It primarily causes inflammation rather than mechanical obstruction.
D. Enterocolitis: Enterocolitis refers to inflammation of the intestines, which can occur due to infections or conditions like necrotizing enterocolitis (NEC) in preterm infants. It does not primarily present as a congenital mechanical obstruction.
Correct Answer is B
Explanation
A. Both require frequent surgery: While surgery may be required for complications of UC or CD, not all cases require frequent surgery. UC is more likely to be treated with total colectomy, while Crohn’s often requires surgery for strictures, fistulas, or bowel obstruction.
B. Both are inflammatory: Both ulcerative colitis (UC) and Crohn’s disease (CD) are types of inflammatory bowel disease (IBD) characterized by chronic inflammation of the gastrointestinal tract.
C. Both begin in the rectum: Ulcerative colitis starts in the rectum and progresses proximally, while Crohn’s disease can occur anywhere along the gastrointestinal tract (mouth to anus) but most commonly affects the ileum and colon.
D. Both manifest fistula formation: Fistulas (abnormal connections between organs) are common in Crohn’s disease but not in ulcerative colitis.
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