The nurse is completing preoperative teaching on a client. Which of the following response should the nurse offer to a client who asks why he's having a total colectomy with ileostomy formation to treat his ulcerative colitis?

“The ileostomy is temporary and can be reversed after 3-4 months.”

"This procedure will slow down the number of diarrhea stools you pass per rectum"

"Stool produced by the ileostomy will be firm and require manual removal to drain

"This procedure is curative as it removes the part of the bowel affected by the disease."

Answer and Explanation

The Correct Answer is D

A. "The ileostomy is temporary and can be reversed after 3-4 months.": A total colectomy with ileostomy is typically permanent unless the client is undergoing a two-stage procedure to create a J-pouch.

B. "This procedure will slow down the number of diarrhea stools you pass per rectum.": A total colectomy removes the colon, so stool will no longer pass per rectum. Instead, stool is collected in an external ileostomy bag.

C. "Stool produced by the ileostomy will be firm and require manual removal to drain.": Stool from an ileostomy is liquid to semi-formed due to the lack of water absorption. It does not require manual removal.

D. "This procedure is curative as it removes the part of the bowel affected by the disease.": Ulcerative colitis only affects the colon and rectum. A total colectomy removes the diseased portion, effectively curing the condition.

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Correct Answer is B

Explanation

A. Hang IV fluids of CSNS with 20 mEq of potassium chloride at 125 ml/hr: Fluid resuscitation is important, but potassium should not be administered until electrolyte levels are assessed. Also, potassium administration in a client with a bowel obstruction requires caution due to the risk of hyperkalemia if renal function is impaired.

B. Insert a nasogastric tube: A nasogastric (NG) tube is essential in managing bowel obstruction as it helps decompress the stomach, relieve pressure, and prevent aspiration. This should be done first to stabilize the client.

C. Draw a basic metabolic panel: Checking electrolyte imbalances is important but should be done after stabilizing the client with NG tube insertion.

D. Ambulate in the hallway: Ambulation is contraindicated in acute bowel obstruction due to the risk of worsening symptoms such as nausea, vomiting, and severe pain.

Correct Answer is ["25"]

Explanation

Total volume to be infused = 50 mL
Infusion rate = 2 mL/min

Time required = Total volume / Infusion rate
= 50 mL ÷ 2 mL/min
= 25 minutes

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The nurse is completing preoperative teaching on a client. Which of the following response should the nurse offer to a client who asks why he's having a total colectomy with ileostomy formation to treat his ulcerative colitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The emergency room nurse is caring for a client just diagnosed with a bowel obstruction secondary to adhesions. Which of the following orders should the nurse complete first?

Correct Answer is B

Explanation

The nurse is reviewing an order of infuse 12.5 grams of V Albumin to the client. The albumin is dispensed as 12.5 grams in 50 mL bottles and can be infused at 2 mL/minute. How long will it take to administer this dose of Albumin.

Correct Answer is ["25"]

Explanation

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