The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Cause of the patient's anxiety and fear.

Patient's bowel sounds and presence of gas.

Family's questions about the procedure.

Patient's lung sounds and respiratory rate.

Answer and Explanation

The Correct Answer is A

Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide

emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.

Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.

Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.

Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.

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Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale: Waiting until the ostomy drainage bag is full increases the risk of leakage and can put undue pressure on the stoma, leading to potential skin irritation or damage. Regular emptying is crucial for maintaining stoma health and preventing complications.

Choice B rationale: Emptying the ostomy drainage bag when it is 1/2 full is recommended to prevent leaks and reduce pressure on the stoma. This practice helps maintain skin integrity around the stoma and ensures the drainage bag functions effectively.

Choice C rationale: Emptying the ostomy drainage bag when it is only 1/4 full may be too frequent and unnecessary, leading to increased use of supplies and potential irritation from frequent manipulation. It is more practical to aim for 1/2 full for routine care.

Choice D rationale: Waiting until the ostomy drainage bag is 3/4 full increases the risk of leakage and pressure on the stoma, similar to waiting until it is full. It is essential to empty the bag more regularly to maintain optimal stoma health and prevent issues

A. Rhinorrhea. B. Amenorrhea. C. Steatorrhea. D. Diarrhea.

Correct Answer is C

Explanation

Choice A Rhinorrhea refers to a runny or stuffy nose and is not related to the described stool characteristics.

Choice B Amenorrhea is the absence of menstruation and is not related to the described stool characteristics.

Choice C Steatorrhea is the presence of bulky, foulsmelling, floating stools that contain a high amount of undigested fat. It is often associated with malabsorption disorders or pancreatic

insufficiency.

Choice D Diarrhea is characterized by loose or watery stools and is not related to the described stool characteristics.

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The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

Correct Answer is B

Explanation

A patient has stools that are foulsmelling and that float on water. The nurse documents that this patient is having

Correct Answer is C

Explanation

A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?

A nurse performs an abdominal assessment on 4 patients. Which of the following would be considered a normal abdominal assessment?

What foods would increase colostomy odors?

A patient expresses concerns over having bright red stool. Which response by the nurse is most appropriate?

A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?

A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?