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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"The chance of acquiring a sexually transmitted infection increases with multiple sex partners." This response is appropriate and accurate because having multiple sex partners increases the risk of acquiring sexually transmitted infections. The nurse's response can help educate the client and encourage safer sexual practices.
Choice A is incorrect because it assumes the client already practices safe sex.
choice C is not relevant to the conversation.
Choice D is not necessarily incorrect, but it does not provide as much information or education to the client as choice B does.
Correct Answer is B
Explanation
Abandon biases that older adults are sexually inactive. Older adults are sexually active and at risk for sexually transmitted infections (STIs). The nurse should not make assumptions about the client's sexual activity based on age.
Option A, older clients who are sexually active have less risk for STIs than other age groups, is incorrect because older adults are at risk for STIs. Option C, older clients know the ways to prevent STIs, may not always be accurate.
Option D, older clients, because of their maturity, are rarely embarrassed to talk about it, is a generalization and may not be true for all older clients.
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