Which skill does the nurse teach a patient with a new colostomy before discharge from the health care facility? (Select all that Apply)

How to open and close the pouch

How to determine whether the ostomy is healing appropriately

How to irrigate the colostomy

How to change the pouch

How to empty the pouch

Answer and Explanation

Correct Answer : A,B,D,E

A. How to open and close the pouch: The patient must be able to manage their pouch independently. This skill helps them maintain hygiene and prevent leakage.

B. How to determine whether the ostomy is healing appropriately: Patients should be educated on signs of infection, irritation, or necrosis around the stoma.

C. How to irrigate the colostomy: Not taught initially because irrigation is only necessary for some patients and is usually introduced later. It’s mainly for descending or sigmoid colostomies, not all types.

D. How to change the pouch: A crucial skill to prevent leakage and skin irritation.

E. How to empty the pouch: Patients should know when and how to empty it to maintain cleanliness and avoid leaks.

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Correct Answer is ["740"]

Explanation

4 oz juice → 120 mL
6 oz tea → 180 mL
100 mL ice chips → 50 mL (Ice chips are counted as half their volume when melted)
IV bolus → 150 mL
8 oz broth → 240 mL

Total intake:

120+180+50+150+240=740mL120 + 180 + 50 + 150 + 240=740mL

Correct answer: 740 mL

A. "Excessive laxative use may cause an electrolyte imbalance." B. "Chronic use of laxatives can lead to a tear in the rectal mucosa." C. "Decrease your intake of foods high in fiber." D. "Irregular bowel movements are an indication of poor intestinal health."

Correct Answer is A

Explanation

A. "Excessive laxative use may cause an electrolyte imbalance." Chronic laxative use can lead to hypokalemia, dehydration, and other imbalances.

B. "Chronic use of laxatives can lead to a tear in the rectal mucosa." While irritation is possible, tearing (anal fissures) is more associated with straining or hard stools, not laxative overuse.

C. "Decrease your intake of foods high in fiber." Fiber helps regulate bowel movements and reduces laxative dependence.

D. "Irregular bowel movements are an indication of poor intestinal health." Bowel patterns vary by individual, and irregularity does not always indicate poor health.

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Which skill does the nurse teach a patient with a new colostomy before discharge from the health care facility? (Select all that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing an 8-hr 1&0 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Correct Answer is ["740"]

Explanation

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has diabetes and a new prescription for 6 units of regular insulin and 10 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected finding for this client?

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