Which of the following statements by the client indicates effective understanding of how to reduce odor from a colostomy?
Applying essential oils directly to the stoma will help eliminate odor.
I should empty the colostomy bag frequently to minimize odor.
I should keep the bathroom window open at all times to prevent odor.
I need to avoid eating foods high in fiber to prevent odor.
The Correct Answer is B
Rationale:
A. Applying oils directly to the stoma is unsafe and can irritate the skin or damage the stoma tissue. Essential oils are not recommended for odor control in colostomy care.
B. Emptying the colostomy pouch before it becomes too full helps prevent gas buildup and bacterial overgrowth, which are the primary causes of odor. This is a safe and effective strategy to control odor and maintain hygiene.
C. Ventilating the bathroom may help with room air quality, but it does not address the source of odor, which comes from the stoma and pouch. Proper pouch management is more effective than relying on ventilation alone.
D. High-fiber foods are important for nutritional balance and bowel function. While certain foods can contribute to gas or odor, eliminating fiber entirely is unnecessary and potentially harmful. Patients are usually taught which specific foods may increase odor rather than avoiding fiber altogether.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Hair loss is a common and visible side effect of many anti-neoplastic drugs, but it is not life-threatening. While it can affect self-esteem and quality of life, it does not endanger the patient’s health.
B. Electrolyte imbalances can occur due to chemotherapy, vomiting, or tumor lysis syndrome, and they require monitoring and correction. However, they are usually manageable with fluids and medications and are not the primary life-threatening risk of anti-neoplastic therapy.
C. Bone marrow suppression (myelosuppression) is the most dangerous side effect of anti-neoplastic drugs because it reduces the production of white blood cells, increasing the risk of infection; red blood cells, causing anemia and decreased oxygen delivery; and platelets, increasing the risk of bleeding. Severe myelosuppression can result in life-threatening infections, hemorrhage, or hypoxia, making it the most critical adverse effect to monitor and manage.
D. Although common and distressing, nausea and vomiting are generally manageable with modern antiemetics and are rarely directly life-threatening.
Correct Answer is ["A","B","C","E"]
Explanation
Rationale:
A. Surgery is a primary treatment for many cancers and can be used alone to remove localized tumors or in combination with other treatments such as chemotherapy or radiation to improve outcomes.
B. Radiation therapy uses high-energy rays to destroy cancer cells. It can be administered alone for localized cancers or in combination with surgery or chemotherapy to enhance treatment effectiveness.
C. Immunotherapy stimulates the patient’s immune system to recognize and attack cancer cells. It can be used alone or combined with other treatments depending on the cancer type and stage.
D. Phlebotomy, which involves removing blood, is used for conditions like polycythemia vera or hemochromatosis, but it is not a treatment for cancer.
E. Chemotherapy involves systemic administration of anti-cancer drugs to destroy rapidly dividing cells. It can be used alone for widespread cancer or in combination with surgery, radiation, or immunotherapy to improve outcomes.
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