The practical nurse (PN) is assisting with the preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Review the client's expectations of elimination after surgery.

Verify that the client had nothing by mouth (NPO) for the past 24 hours.

Ask the client if he finished the bowel sterilization prescription.

Determine if this is the first indwelling catheter the client has had.

Answer and Explanation

The Correct Answer is A

This is the best action for the PN to implement because it addresses the client's question and provides an opportunity to educate the client about fecal diversion surgery and its outcomes. The PN should review the type, location, and appearance of the surgical opening (stoma) and explain how it will aﬀect the client's elimination and body image.

B. Verifying that the client had nothing by mouth (NPO) for the past 24 hours is not relevant to the client's question and does not provide any information or support.

C. Asking the client if he finished the bowel sterilization prescription is not relevant to the client's question and does not provide any information or support.

D. Determining if this is the first indwelling catheter the client has had is not relevant to the client's question and does not provide any information or support.

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Correct Answer is B

No explanation

A. Encourage the client to get plenty of exercise as well as the dietary change. B. Remind the client to make sure the dairy products are fortified with Vitamin D. C. Suggest that an increase in fruits and vegetables is more beneficial. D. Provide written information about the seven warning signs of cancer.

Correct Answer is C

Explanation

The correct answer is Choice C:

Suggest that an increase in fruits and vegetables is more beneficial.

Choice C rationale:

While dairy products do provide essential nutrients like calcium and vitamin D, there is no strong evidence to suggest that increasing dairy intake alone will significantly reduce the risk of cancer. On the other hand, fruits and vegetables are known to be rich in antioxidants and phytochemicals that have been associated with a reduced risk of cancer. Therefore, suggesting an increase in fruits and vegetables is a more evidence-based approach to reducing cancer risk.

Choice A rationale:

Encouraging exercise is a good recommendation for overall health, but it does not directly address the client's concern about reducing cancer risk. Focusing on a balanced diet, including plenty of fruits and vegetables, is more relevant to the client's specific concern.

Choice B rationale:

Reminding the client about Vitamin D-fortified dairy products may be helpful for addressing Vitamin D intake, but it doesn't necessarily address the broader concern of reducing cancer risk. Moreover, the link between dairy and cancer risk reduction is not as well-established as the benefits of fruits and vegetables.

Choice D rationale:

Providing information about cancer warning signs is important for cancer awareness but doesn't address the client's current dietary choices and concerns about cancer prevention. The focus should be on evidence-based dietary recommendations to reduce cancer risk.

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The practical nurse (PN) is assisting with the preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

A client tells the practical nurse (PN) that she has a family history of cancer and has increased the amount of dairy products in her diet to reduce her risk of getting cancer. How should the PN respond?

Correct Answer is C

Explanation

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