A nurse is assessing a client's ability to adapt to a new colostomy. Which of the following client statements indicates to the nurse the client is adapting?

"I will need to stay away from others because they will be able to smell this as much as I can.".

"My stoma is starting to look like a strawberry with a hole in it.".

"My partner is in charge of emptying the contents of my bag.".

"I will have to get used to eliminating many foods from my diet.".

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This statement indicates the client's fear and concern about the colostomy's odor, showing a lack of adaptation to the situation.

Choice B rationale:

Comparing the stoma to a strawberry with a hole in it might suggest the client is not fully accepting or understanding the colostomy, indicating a lack of adaptation.

Choice C rationale:

This statement suggests that the client has delegated the task of emptying the colostomy bag to their partner, which indicates a level of acceptance and adaptation to the new situation.

The client trusts their partner with this intimate task, demonstrating a positive sign of adaptation.

Choice D rationale:

Eliminating many foods from the diet suggests difficulty in adjusting to the dietary changes required for managing a colostomy, indicating a lack of full adaptation.

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Correct Answer is B

Explanation

Choice A rationale:

Hypertension is not a manifestation of fat overload syndrome. Fat overload syndrome occurs when the body is unable to metabolize a large amount of fat delivered by IV fat emulsions, leading to fat accumulation in organs such as the lungs, liver, and bone marrow.

Choice B rationale:

Weight gain is a common manifestation of fat overload syndrome. The excess fat not metabolized accumulates in the body, leading to weight gain and potential complications.

Choice C rationale:

Fever is not directly related to fat overload syndrome. This condition primarily involves the accumulation of fat and its related complications rather than causing fever.

Choice D rationale:

Hypoglycemia is not associated with fat overload syndrome. This condition results from low blood sugar levels and is not directly related to the administration of IV fat emulsions.

A. "Bedside water pitchers should be covered after being filled.". B. "Dressings that get wet in the shower should be allowed to dry out.". C. "Used needles should be placed in the sharps container at the nurses' station.". D. "Drainage bottles should be emptied when they become full.".

Correct Answer is A

Explanation

Choice A rationale:

Covering bedside water pitchers after being filled helps reduce the risk of contamination and infection by preventing the entry of airborne pathogens or debris.

Choice B rationale:

Allowing dressings that get wet in the shower to dry out is not an effective infection control strategy. Wet dressings can become a breeding ground for bacteria, and it is important to change wet dressings promptly to minimize the risk of infection.

Choice C rationale:

Used needles should be immediately disposed of in sharps containers, not placed at the nurses' station. Placing used needles in the sharps container promptly helps prevent accidental needlestick injuries and potential transmission of infections.

Choice D rationale:

Drainage bottles should be emptied regularly to prevent overfilling, but they should not be allowed to become full. Regular emptying ensures proper functioning and reduces the risk of spillage or contamination in the client care area.

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A nurse is assessing a client's ability to adapt to a new colostomy. Which of the following client statements indicates to the nurse the client is adapting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving IV fat emulsion therapy. Which of the following findings should the nurse identify as a manifestation of fat overload syndrome?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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