The nurse is providing patient education for a client who is going to have an ostomy created due to chronic Crohn's disease. The nurse has decided that pre- operative education is successful when the client states:. (select all that apply).
There will be blood and mucus initially exiting the stoma.
The stoma will shrink a bit over a period of weeks.
The stool will be of normal consistency and color.
The stoma should be beefy red.
Drainage will begin approximately 24-48 hours following surgery.
Correct Answer : A,B,D,E
Pre-operative education is successful when the client states that there will be blood and mucus initially exiting the stoma, the stoma will shrink a bit over a period of weeks, the stoma should be beefy red, and drainage will begin approximately 24-48 hours following surgery. These statements indicate that the client has a good understanding of what to expect after surgery.
Option C, The stool will be of normal consistency and color, is not a correct answer as the stool from an ostomy is different from normal stool consistency and color.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
In the Rinne test, the nurse first places a tuning fork on the mastoid process behind the ear, and when the client states that the sound is no longer heard, the tuning fork is placed beside the ear. This test is done to compare bone conduction with air conduction. When sound is no longer heard via bone conduction, the sound will still be heard via air conduction.
Choice A is incorrect because it describes the Weber test, not the Rinne test.
Choice C is incorrect because it is not a standard hearing test.
Choice D is incorrect because it describes the Whisper test, which is also used to test for hearing loss.
Correct Answer is {"dropdown-group-1":"B"}
Explanation
The term for severe itching is "pruritus," so the nurse should document the client's complaint as such. Pruritus can be caused by a variety of factors, including allergic reactions, skin conditions, and liver or kidney disease.
The nurse should assess the client's skin for any visible signs of irritation or rash and ask about any recent changes in medications or diet. Treatment for pruritus will depend on the underlying cause but may include topical or oral medications, cool compresses, or avoiding irritants.
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