The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?

Sigmoid

Transverse

Ascending

Descending

Answer and Explanation

The Correct Answer is C

A. Sigmoid. The sigmoid colon is the last part of the intestine, where stool is more solid and formed.

B. Transverse. Stool in a transverse colostomy is semi-formed or pasty.

C. Ascending. An ascending colostomy produces very liquid stool because it is located near the beginning of the large intestine, where water absorption is minimal.

D. Descending. Stool in a descending colostomy is more solid and formed compared to the ascending and transverse colostomies.

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Correct Answer is C

Explanation

A. Measure bladder with the head of the bed raised to 60 degrees. The patient should be in the supine position for the most accurate measurement.

B. Measure bladder with the head of the bed raised to 90 degrees. The patient should be in a flat or slightly reclined position for bladder scanning.

C. Measure bladder within 15 minutes after the patient voids. Postvoid residual (PVR) is the amount of urine left in the bladder after urination. It should be measured within 15 minutes of voiding for accuracy.

D. Measure bladder before the patient voids. Measuring before voiding does not assess residual urine, which is the purpose of the test.

A. A female client who has a body mass index of 24 B. A male client who has a body mass index of 29 C. A male client who has a waist circumference of 96.52 cm (38 in) D. A female client who has a waist circumference of 101.6 cm (40 in)

Correct Answer is B

Explanation

A. A female client who has a body mass index of 24: A BMI of 18.5–24.9 is considered normal weight. Since the BMI is 24, this client is in the normal weight range.

B. A male client who has a body mass index of 29: A BMI of 25–29.9 is classified as overweight. Since the BMI is 29, this client is overweight but not obese.

C. A male client who has a waist circumference of 96.52 cm (38 in): The at-risk waist circumference for males is ≥40 inches (102 cm). Since this client’s waist circumference is 38 inches, he is not classified as overweight based on this parameter.

D. A female client who has a waist circumference of 101.6 cm (40 in): The at-risk waist circumference for females is ≥35 inches (88 cm), but waist circumference alone does not classify someone as overweight. BMI is the primary measure used.

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The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

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