A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?
"I have purchased a stoma cap I can use when needed."
"My partner empties my pouch for me every morning."
"I am embarrassed by the odor that comes from my colostomy."
"I miss going to my church meetings like I used to do."
The Correct Answer is A
Choice A reason: This statement reflects acceptance as the client is taking proactive steps to manage their colostomy independently, which is indicative of adapting to the change in body function.
Choice B reason: While having a partner's support is beneficial, this statement does not necessarily indicate acceptance. It could suggest reliance on others rather than selfcare and acceptance.
Choice C reason: Feeling embarrassed by the colostomy's odor suggests that the client is still struggling with the social implications of their condition, which is not indicative of the acceptance stage.
Choice D reason: Expressing a sense of loss about previous activities, such as attending church meetings, indicates that the client may be in the earlier stages of grieving, such as denial or bargaining, rather than acceptance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A PaCO2 of 55 mm Hg is above the normal range and indicates respiratory acidosis, which is a buildup of carbon dioxide in the blood.
Choice B reason: An HCO3 level of 25 mEq/L is within the normal range and does not indicate acidosis.
Choice C reason: A pH of 7.47 is actually slightly alkalotic, not acidotic.
Choice D reason: A PaO2 of 85 mm Hg is within the normal range for arterial oxygen tension and does not indicate respiratory acidosis.
Correct Answer is A
Explanation
Choice A reason: It is important to avoid sexual intercourse until the cervix is healed to prevent infection and allow for proper healing after a colposcopy.
Choice B reason: Dilation of the cervix is not typically part of a colposcopy procedure, so this instruction would be incorrect.
Choice C reason: Inserting a tampon following the procedure is not recommended as it can introduce bacteria and affect healing.
Choice D reason: The Sims position is not specifically required for a colposcopy; the lithotomy position is commonly used to provide the best access for examination.
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