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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The patient is lonely and calling the nurse under false pretenses. This is an inappropriate assumption. The patient may be experiencing urinary hesitancy due to anxiety, not seeking attention.
B. The patient does not recognize the physiological signals that indicate a need to void. The patient recognized the need to void but is having difficulty due to psychological factors (e.g., anxiety, privacy concerns).
C. The patient is not drinking enough fluids to produce adequate urine output. The patient felt the urge to void, meaning they do have urine in the bladder. The issue is likely related to difficulty initiating urination rather than fluid intake.
D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Paruresis ("shy bladder syndrome") can make it difficult to void in the presence of others due to anxiety or embarrassment.
Correct Answer is B
Explanation
A. Milkshake: Contains milk, which is not a clear liquid.
B. Grape juice: Allowed, as it is a transparent liquid without pulp.
C. Lemon sherbet: Not a clear liquid; contains dairy and solid components.
D. Vanilla ice cream: Not clear; ice cream is a full-liquid food.
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