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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Administering packed RBCs is important but is not the highest priority. Stabilizing the client’s hemodynamic status is critical first.
Choice B rationale
Elevating the client's feet can help with blood circulation but does not address the immediate need to stabilize blood pressure and fluid volume.
Choice C rationale
Initiating a dopamine IV infusion can help with hypotension, but it is not the first action. Stabilizing the client with fluids is a higher priority.
Choice D rationale
Increasing the client's IV fluid rate is the highest priority to address hypotension and ensure adequate blood volume before administering blood products or other medications. .
Correct Answer is A
Explanation
Choice A rationale
Inability to locate the dorsalis pedis pulse and increasing pain are signs of compromised circulation, requiring immediate intervention.
Choice B rationale
Pain relieved by medication does not indicate an urgent situation and suggests effective pain management.
Choice C rationale
Generalized weakness and increased sensitivity to touch are not typically indicative of a critical emergency requiring immediate reporting.
Choice D rationale
Localized edema and discoloration are expected findings following a fracture and do not necessitate immediate reporting.
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