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 A

Explanation

Choice A This is considered a normal abdominal assessment. The abdomen is soft and not distended, and bowel sounds are present and normal in all four quadrants.

Choice B Abdominal distension and firmness may indicate possible bowel obstruction or other gastrointestinal issues. Hypoactive bowel sounds suggest reduced motility, which is not normal.

Choice C Abdominal distension with hyperactive bowel sounds may indicate gastrointestinal irritation or increased motility, which is not normal.

Choice D A firm abdomen with hypoactive bowel sounds is not typical of a normal abdominal assessment.

A. Worms from unsanitary conditions B. Occult blood in the stool C. Normal stool characteristics D. Irritant or inflamed portion of the bowel

Correct Answer is D

Explanation

Choice A Stool with worms would present as visible worms or worm segments in the stool and not pus.

Choice B Occult blood refers to blood that is not visible to the naked eye and is not related to the presence of pus in the stool.

Choice C Pus in the stool is not considered a normal stool characteristic.

Choice D The presence of pus in the stool may indicate inflammation or infection in the gastrointestinal tract, potentially from conditions such as inflammatory bowel disease (IBD) or infection.

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

Correct Answer is A

Explanation

While inspecting a patient's stool, a nurse notices that the stool has pus in it. The nurse identifies this type of stool as having

Correct Answer is D

Explanation

A nurse can expect that which of the following patients are most likely to suffer from fecal incontinence? Select all that apply.

The most formed stool occurs in which portion of the colon?

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

There is an order to administer a large volume, cleansing enema to an adult patient. The enema bag is filled with how many milliliters of fluid for this procedure?

An adult patient has orders for an enema. A nurse will

Your patient complains of excessive flatus. When reviewing the patient's dietary intake, which food, if eaten regularly, would you identify as possibly responsible?

The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?