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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: A stool softener is the best option to try first for a patient with constipation as it helps to soften the stool, making it easier to pass.
Choice B: Soap suds enemas are used to promote bowel movements, but they are more invasive and can cause discomfort. Stool softeners should be tried before resorting to enemas.
Choice C : Suppositories can also help with constipation, but they are generally not the first option to try. Stool softeners are milder and more suitable initially.
Choice D: While mineral oil enemas can provide lubrication to facilitate bowel movements, stool softeners are generally preferred for their milder action.
Correct Answer is A
Explanation
Choice A : The descending colon is the portion of the colon where stool becomes more formed as water is absorbed, leading to the gradual solidification of stool.
Choice B The transverse colon is responsible for further water absorption, but stool is still relatively less formed compared to the descending colon.
Choice C There is no segment called "oblique colon." It might be a typographical error.
Choice D The ascending colon is the initial part of the colon where undigested food enters, and stool is relatively less formed compared to the descending colon.
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