The nurse is preparing a client for surgery and observes on the operative permit that the client will be having a double-barrel colostomy. What portion of the large intestine is the nurse aware that this is performed?

Ascending.

Descending.

Transverse.

Sigmoid.

Answer and Explanation

The Correct Answer is D

sigmoid. A double-barrel colostomy involves surgically creating two separate stomas from the colon, with the proximal stoma discharging stool and the distal stoma discharging mucus. This type of colostomy is typically performed in the sigmoid colon, which is the S-shaped segment of the large intestine located just before the rectum.

Choice A, ascending, is not the correct answer because an ascending colostomy is created in the ascending colon, which is located on the right side of the abdomen.

Choice B, descending, is not the correct answer because a descending colostomy is created in the descending colon, which is located on the left side of the abdomen.

Choice C, transverse, is not the correct answer because a transverse colostomy is created in the transverse colon, which is located across the upper abdomen.

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

Explanation

The Glasgow Coma Scale (GCS) is a tool used to assess a patient's level of consciousness following a traumatic brain injury. It is based on three categories: eye-opening, verbal response, and motor response. The tool scores a patient from 3 to 15, with 15 being the best possible score. A score of 8 or less indicates a severe brain injury. The tool does not assess thought process or cognitive ability.

A. Exposing the affected area to air. B. Avoiding the application of moisture sealant. C. Avoiding using an electric room deodorizer. D. Using scented sprays or perfumes.

Correct Answer is A

Explanation

Exposing the affected area to air. Exposing the affected area to air is appropriate because it allows the skin to breathe and reduces the risk of skin breakdown. The client should be instructed to change the pad frequently and wash the perineal area with mild soap and water.

Option B, avoiding the application of moisture sealant, may increase the risk of skin breakdown.

Option C, avoiding using an electric room deodorizer, is not related to the situation.

Option D, using scented sprays or perfumes, may cause skin irritation.

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The nurse is preparing a client for surgery and observes on the operative permit that the client will be having a double-barrel colostomy. What portion of the large intestine is the nurse aware that this is performed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a neurological deficit. In assessing the client, the nurse will utilize the standard Glasgow Coma Scale. What will the nurse be assessing on this patient? Select all that apply.

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

Explanation

An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?

Correct Answer is A

Explanation

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