A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.
The nurse is aware the stoma will be in what area of the client's abdomen?

Right lower quadrant.

Left lower quadrant.

Right upper quadrant.

Left upper quadrant.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A terminal ileostomy involves creating an opening in the right lower quadrant of the abdomen where the ileum is brought to the surface to form a stoma for waste elimination.

Choice B rationale

The left lower quadrant is not used for a terminal ileostomy, as it is not anatomically appropriate for the ileum.

Choice C rationale

The right upper quadrant is not relevant to a terminal ileostomy because the ileum is located in the lower part of the abdomen.

Choice D rationale

The left upper quadrant is also inappropriate for a terminal ileostomy due to the anatomical position of the ileum.

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Correct Answer is B

Explanation

Choice B rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI). This pain occurs due to the heart muscle not receiving enough oxygen, often because of a blockage in one or more coronary arteries. The pain can radiate to the left arm, jaw, neck, or back, and is a key indicator for diagnosing an MI.

Choice A rationale

Nausea and vomiting can occur during an MI but are not the most distinctive symptoms for diagnosis. They can also be associated with other conditions, making them less specific indicators of MI.

Choice C rationale

Shortness of breath is a common symptom during an MI, resulting from reduced oxygen supply to the heart. However, while it is an important clinical manifestation, it can also be associated with other cardiac or respiratory conditions.

Choice D rationale

Headache is not a typical symptom of an MI. It is less commonly associated with heart attacks and can be caused by a wide range of other factors, making it an unreliable symptom for diagnosing MI.

A. To provide essential nutrients while allowing the bowel to rest and heal. B. To reduce inflammation and control symptoms of IBD. C. To stimulate the bowel and promote regular bowel movements. D. To prevent malnutrition and promote weight gain.

Correct Answer is A

Explanation

Choice A rationale

Total parenteral nutrition (TPN) provides essential nutrients intravenously, allowing the bowel to rest and heal, which is important in the management of inflammatory bowel disease (IBD).

Choice B rationale

While reducing inflammation and controlling symptoms are important goals in IBD management, TPN is primarily used to provide nutrition and allow the bowel to rest.

Choice C rationale

Stimulating the bowel is not the purpose of TPN. TPN is used to give the digestive tract a break while ensuring the patient receives necessary nutrients.

Choice D rationale

Preventing malnutrition and promoting weight gain are secondary benefits of TPN, but the primary rationale is to provide nutrients while allowing the bowel to rest and heal.

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A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.The nurse is aware the stoma will be in what area of the client's abdomen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Correct Answer is B

Explanation

Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

Correct Answer is A

Explanation

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A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.
The nurse is aware the stoma will be in what area of the client's abdomen?