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?

Reasoning:

Choice A reason: Levothyroxine (T4) replacement requires TSH monitoring to ensure adequate dosing, as TSH reflects thyroid function. T3 replacement also requires monitoring, but T3 is less commonly used due to its short half-life. This statement is inaccurate, as TSH monitoring is essential for T4 therapy.

Choice B reason: The body converts levothyroxine (T4) to triiodothyronine (T3) via deiodinase enzymes in peripheral tissues, restoring both hormone levels. T3 replacement is unnecessary, as T4 provides a stable precursor for T3 production, making this statement accurate for explaining hypothyroidism treatment rationale.

Choice C reason: T3 and T4 can be administered together in specific cases (e.g., combination therapy) without becoming inactive. However, T4 alone is standard due to its longer half-life and conversion to T3. This statement is inaccurate, as it falsely claims biochemical incompatibility between the hormones.

Choice D reason: T3 is the active thyroid hormone, not an inactive precursor to T4. T4 is converted to T3, which binds receptors to regulate metabolism. This statement is inaccurate, as it reverses the roles of T3 and T4 in thyroid hormone physiology and therapy.

Choice A reason: Undisplaced fractures, where bone segments remain aligned, heal faster, typically in 6-8 weeks. Minimal disruption to blood supply and periosteum allows efficient callus formation and remodeling. These fractures require less intervention, as the stable bone structure supports osteoblast activity and collagen deposition, leading to quicker recovery.

Choice B reason: Compound (open) fractures, where bone pierces the skin, take the longest to heal, often 3-6 months or more. Open wounds increase infection risk, disrupting blood supply and delaying osteogenesis. Surgical intervention, prolonged immobilization, and potential complications like osteomyelitis further slow the healing process, requiring extensive tissue repair.

Choice C reason: Greenstick fractures, common in children, involve partial bone breaks due to flexible bones. They heal relatively quickly, in 4-8 weeks, as the intact periosteum supports rapid callus formation. The partial break preserves some blood supply, facilitating osteoblast activity and bone remodeling, making healing faster than compound fractures.

Choice D reason: Oblique fractures, with angled breaks, heal in 6-12 weeks, depending on stability. While more complex than undisplaced fractures, they have less soft tissue damage than compound fractures. Blood supply disruption is moderate, and surgical fixation may be needed, but healing is faster than in open fractures due to lower infection risk.