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 D

Explanation

A. Abdominal distention. Distention is more indicative of a paralytic ileus or gas buildup, not return of peristalsis.

B. Request for a cup of tea and some toast. While appetite may return as peristalsis resumes, it is not a definitive sign.

C. Hypoactive bowel sounds in two quadrants. Hypoactive sounds suggest minimal bowel activity, not full peristalsis.

D. Passage of flatus. Passing gas is a key sign that peristalsis is returning postoperatively.

A. Stop the enema and document that the client did not tolerate the procedure. B. Lower the height of the solution container. C. Encourage the client to bear down. D. Allow the client to expel some fluid before continuing

Correct Answer is B

Explanation

A. Stop the enema and document that the client did not tolerate the procedure: Not necessary. Slowing the flow often relieves cramps. Stopping the procedure entirely may lead to incomplete evacuation.

B. Lower the height of the solution container: Slows the flow rate, reducing cramping. High flow rates cause rapid intestinal distention, leading to discomfort.

C. Encourage the client to bear down: Bearing down increases intra-abdominal pressure, worsening cramps.

D. Allow the client to expel some fluid before continuing: Could disrupt the enema’s effectiveness.

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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

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

Correct Answer is D

Explanation

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

Correct Answer is B

Explanation

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