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 B
Explanation
A. Urine output of 80 mL/hr: Normal urine output is 30–50 mL/hr. A urine output of 80 mL/hr is within an acceptable range and does not indicate a problem.
B. Specific gravity of 1.036: Normal urine specific gravity ranges from 1.005 to 1.030. A level of 1.036 indicates dehydration or concentrated urine, which requires further assessment.
C. pH of 6.4: Normal urine pH ranges from 4.5 to 8.0, with an average around 6.0. A pH of 6.4 is within normal limits and does not require follow-up.
D. Protein level of 2 mg/100 mL: Normal urine protein is less than 8 mg/100 mL, so 2 mg/100 mL is within normal limits and does not indicate a concern.
Correct Answer is ["A","B","D","E"]
Explanation
A. How to open and close the pouch: The patient must be able to manage their pouch independently. This skill helps them maintain hygiene and prevent leakage.
B. How to determine whether the ostomy is healing appropriately: Patients should be educated on signs of infection, irritation, or necrosis around the stoma.
C. How to irrigate the colostomy: Not taught initially because irrigation is only necessary for some patients and is usually introduced later. It’s mainly for descending or sigmoid colostomies, not all types.
D. How to change the pouch: A crucial skill to prevent leakage and skin irritation.
E. How to empty the pouch: Patients should know when and how to empty it to maintain cleanliness and avoid leaks.
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