The nurse is assessing a client who is 24-hours post-op after creation of a descending end colostomy due to colon cancer. Which of the following is an expected finding for this client?

The stoma will be edematous in appearance.

Bowel sounds will be hyperactive.

The colostomy appliance will need to be replaced

The colostomy will be producing fecal matter from the proximal stoma and mucus from the distal stoma.

Answer and Explanation

The Correct Answer is A

A. The stoma will be edematous in appearance; this is an expected finding 24 hours after surgery. Mild to moderate edema is normal due to surgical manipulation and should gradually decrease over time.
B. Bowel sounds are often hypoactive or absent immediately post-op due to anesthesia and bowel manipulation, not hyperactive.
C. The colostomy appliance typically remains in place unless there's a leak or issue; routine replacement is not expected at 24 hours post-op.
D. A descending end colostomy involves only one stoma from the proximal end of the bowel; there is no distal stoma, so this option does not apply.

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Correct Answer is B

Explanation

A. Soft-boiled eggs may pose a risk to individuals with neutropenia due to the potential for bacterial contamination (e.g., from undercooked eggs), which could lead to infection. It's generally safer to consume fully cooked eggs.
B. Bottled water is considered a safe choice for individuals with neutropenia because it is typically filtered and sealed, reducing the risk of bacterial contamination from tap water. Ensuring safe water intake is crucial for preventing infections in individuals with weakened immune systems.
C. Salad bars can be risky for individuals with neutropenia due to the potential for contaminated raw vegetables or improper food handling, which can lead to foodborne illnesses. Raw or unwashed vegetables may harbor harmful bacteria.
D. Buffets can be risky for individuals with neutropenia because the food may be left out at unsafe temperatures for extended periods, increasing the risk of contamination. Individuals with neutropenia should avoid foods from buffet-style setups.

A. D-dimer fibrinogen and fibrin degradation products B. Complete blood count, platelets and prothrombin time C. Prothrombin time fibrin level and D-dimer D. Fibrin degradation products, lactic acid and complete blood count

Correct Answer is A

Explanation

A. The diagnostic workup for disseminated intravascular coagulation (DIC) typically includes the measurement of D-dimer, fibrinogen, and fibrin degradation products. D-dimer levels are elevated in DIC due to increased fibrin breakdown, and fibrinogen levels are usually decreased due to consumption. Fibrin degradation products (FDPs) are also elevated in DIC and provide evidence of abnormal clotting and fibrinolysis.

B. While a complete blood count (CBC) and platelet count are part of the evaluation of DIC, they are not sufficient on their own to confirm the diagnosis. The prothrombin time (PT) is helpful but does not provide the most specific information regarding fibrinolysis and clot breakdown, which are crucial in diagnosing DIC.

C. While prothrombin time (PT) and D-dimer are useful in the diagnosis of DIC, fibrin level is not a standard test. The focus is generally on fibrinogen and fibrin degradation products (FDPs) rather than fibrin levels.

D. Although fibrin degradation products and a complete blood count are part of the evaluation, lactic acid is not typically a key test in diagnosing DIC. Lactic acid levels may rise in conditions associated with hypoperfusion or shock but do not specifically diagnose DIC.

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The nurse is assessing a client who is 24-hours post-op after creation of a descending end colostomy due to colon cancer. Which of the following is an expected finding for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Correct Answer is B

Explanation

The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will most effectively guide the provider to a diagnosis of DIC?

Correct Answer is A

Explanation

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