The nurse is emptying an ileostomy pouch for a patient Which assessment finding will the nurse report immediately?

Continuous output from the stoma

Presence of blood in the stool

Malodorous Stool

Liquid consistency with hard stool particles

Answer and Explanation

The Correct Answer is B

A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.

B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.

C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.

D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.

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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.

A. "It is not normal to see food particles in the stool," B. "Some people with colorectal cancer have unexplained abdominal or back pain." C. "Blood in the stool is one warning sign I need to look for." D. "I need to let my doctor know if my bowel habits start to change." E. "Muscle aches are common in people with colorectal cancer."

Correct Answer is ["B","C","D"]

Explanation

A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.

B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.

C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.

D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.

E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.

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The nurse is emptying an ileostomy pouch for a patient Which assessment finding will the nurse report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a health fair is assessing the weight status of four clients. Which of the following clients are classified as overweight?

Correct Answer is B

Explanation

A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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