The client with inflammatory bowel disease is having surgery for a temporary colostomy. It will be a transverse colostomy, with the stoma located as shown. What will be the consistency of the stool from the colostomy?
Hard, formed stool
Mostly liquid feces with mucus
Soft, semi-formed stool
Dry, pellet-like stool
The Correct Answer is B
Choice A reason: Hard, formed stool is typical of descending or sigmoid colostomies, where the colon reabsorbs water. A transverse colostomy, located higher in the colon, has less water absorption, producing liquid stool. This statement is inaccurate, as transverse colostomy stool is not hard or formed.
Choice B reason: A transverse colostomy, located in the mid-colon, produces mostly liquid feces with mucus due to limited water reabsorption before the stoma. The proximal colon’s contents are less formed, and mucus from inflammation (common in IBD) is present, making this statement accurate for stool consistency.
Choice C reason: Soft, semi-formed stool is more typical of descending colostomies, where water absorption occurs longer. Transverse colostomies, higher in the colon, produce more liquid output due to shorter transit time. This statement is inaccurate, as it does not reflect transverse colostomy stool consistency.
Choice D reason: Dry, pellet-like stool is characteristic of constipation or distal colon output, not a transverse colostomy. The transverse colon’s contents are liquid due to minimal water reabsorption, especially in IBD with inflammation. This statement is inaccurate, as it misrepresents the expected stool consistency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Gout results from hyperuricemia, leading to urate crystal deposition in joints. A 45-year-old male with obesity (BMI 40) has increased purine turnover, elevating uric acid. Hydrochlorothiazide reduces urate excretion, and aspirin impairs renal uric acid clearance, significantly increasing gout risk, making this patient the most susceptible due to multiple risk factors.
Choice B reason: Bulimia may cause electrolyte imbalances, but it is not strongly linked to hyperuricemia or gout. A BMI of 24 is normal, reducing obesity-related purine production. This 39-year-old female has fewer gout risk factors compared to an obese male on medications that elevate uric acid, making her less likely to develop gout.
Choice C reason: Ulcerative colitis may cause systemic inflammation, but it is not a direct risk factor for gout. Hyperuricemia is not typically associated with inflammatory bowel diseases unless complicated by other factors like diuretic use. This 27-year-old female has a lower gout risk compared to the obese male with predisposing medications.
Choice D reason: Limiting purine-rich foods like smoked meat and cheeses reduces uric acid production, lowering gout risk. This 56-year-old male’s dietary habits mitigate hyperuricemia, making him the least likely to develop gout compared to the obese patient on medications that impair uric acid metabolism and excretion.
Correct Answer is B
Explanation
Choice A reason: A complete break with both ends aligned is a simple or non-displaced fracture, not a greenstick fracture. Greenstick fractures involve partial breakage with bending, common in children due to flexible bones. This description does not match the characteristic bending of greenstick fractures.
Choice B reason: A greenstick fracture is a partial break where one side of the bone bends and the other cracks, like a green twig. This occurs in children due to pliable bones with a thick periosteum. This description accurately depicts a greenstick fracture, making it the correct choice.
Choice C reason: A break with bone piercing the skin is a compound (open) fracture, not a greenstick fracture. Compound fractures involve complete bone disruption and skin penetration, unlike the partial, bending nature of greenstick fractures, making this description incorrect for the fracture type.
Choice D reason: A spiral break from twisting force is a spiral fracture, characterized by a helical pattern around the bone. Greenstick fractures involve bending, not twisting, and are partial breaks. This description is inaccurate, as it describes a different fracture mechanism unrelated to greenstick fractures.
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