A client who has been caring for an ostomy on the left side of the abdomen for several years is admitted to the hospital. Which type of stool can the nurse expect?

Moist and formed

Ribbon like

Mucus coated

Loose and liquid

Answer and Explanation

The Correct Answer is A

A. Moist and formed: A left-sided ostomy is likely from the descending or sigmoid colon, where stool is more formed and solid because most water has been absorbed.

B. Ribbon-like: Ribbon-like stool is often associated with bowel obstruction or colorectal cancer, not a normal ostomy output.

C. Mucus-coated: Mucus-coated stool is more typical in patients with an ileostomy or colitis, not a long-term colostomy.

D. Loose and liquid: Liquid stool is expected with an ileostomy (right-sided ostomy), where less water is absorbed.

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Correct Answer is A

Explanation

A. Decrease levels of CEA indicate the treatment of your colon cancer was effective: CEA is a tumor marker primarily used to monitor treatment response in certain cancers, especially colorectal cancer. A decrease in CEA levels after treatment suggests a positive response and reduced tumor burden.

B. Increased levels of CEA indicate that surgery to correct your diverticulitis was effective: CEA is not used to monitor diverticulitis. It is mainly associated with cancers, particularly colorectal cancer. An increase in CEA levels suggests possible cancer recurrence or progression, not resolution of diverticulitis.

C. Increased levels of CEA indicate a return of your pancreatitis: CEA is not a marker for pancreatitis. Pancreatitis is typically monitored using amylase, lipase, and imaging studies.

D. Decreased levels of CEA indicate that you have Ulcerative Colitis: Ulcerative colitis is an inflammatory bowel disease (IBD) that is not diagnosed or monitored using CEA. While chronic inflammation may increase cancer risk over time, CEA is not a direct indicator of UC.

A. Maintain a patent airway and prevent aspiration B. Monitor the effects of ant-hypertensive medications C. Prepare the client for immediate portal shunting surgery D. Perform fecal occult testing on all stools

Correct Answer is B

Explanation

A. Maintain a patent airway and prevent aspiration: While maintaining a patent airway is always important, esophageal varices do not typically cause aspiration unless they rupture. This choice would be a priority in an acute bleed, not in a stable client.

B. Monitor the effects of antihypertensive medications: Beta-blockers (e.g., propranolol) are commonly prescribed to reduce portal hypertension, preventing variceal rupture. Monitoring the effects of these medications is crucial in maintaining hemodynamic stability.

C. Prepare the client for immediate portal shunting surgery: Surgical shunting is considered for refractory cases with severe, recurrent bleeding. A client with stable varices does not require immediate surgery.

D. Perform fecal occult testing on all stools: Esophageal varices cause upper GI bleeding, which manifests as hematemesis or melena, not occult blood in the stool.

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A client who has been caring for an ostomy on the left side of the abdomen for several years is admitted to the hospital. Which type of stool can the nurse expect?

Nursing Test Bank

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