A nurse is assisting with evaluating a newly licensed nurse who is draining an ileostomy bag for a client. Which of the

following actions by the newly licensed nurse indicates an understanding of the procedure?

Wears sterile gloves to drain the ileostomy bag

Washes the skin surrounding the client's ileostomy with hot water

Cleans the end of the ileostomy pouch before clamping

Empties the ileostomy bag when it is three-fourths full

Answer and Explanation

The Correct Answer is C

Choice A reason: Wearing sterile gloves is not necessary when draining an ileostomy bag as this is not a sterile procedure. Clean gloves are typically used.

Choice B reason: Washing the skin surrounding the ileostomy with hot water is not recommended as it can cause
irritation. Lukewarm water should be used, and the area should be patted dry.

Choice C reason: Cleaning the end of the ileostomy pouch before clamping is important to maintain hygiene and
prevent contamination when draining the bag.

Choice D reason: The ileostomy bag should be emptied when it is one-third to one-half full to prevent leakage and ensure comfort for the client.

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Correct Answer is D

Explanation

Choice A reason: Memory loss is not typically associated with a lack of dietary fiber. Memory loss can be related to various neurological or psychological conditions.

Choice B reason: Bleeding gums are commonly associated with vitamin C deficiency, not a lack of dietary fiber.

Choice C reason: Brittle hair can be associated with poor nutrition in general, but it is not a specific indicator of inadequate fiber intake.

Choice D reason: Constipation is a well-known symptom of inadequate fiber intake. Fiber helps to bulk up the stool
and promotes regular bowel movements.

A. Eat granola for breakfast. B. Avoid using salt substitutes when cooking. C. Replace sugar with molasses when baking. D. Choose orange juice instead of apple juice.

Correct Answer is B

Explanation

Choice A reason: Granola may contain ingredients like nuts and dried fruits that are high in potassium, which is not
suitable for a low potassium diet.

Choice B reason: Many salt substitutes contain potassium chloride instead of sodium chloride, and using them can increase potassium intake, which is not recommended for a client on a low potassium diet.

Choice C reason: Molasses is high in potassium, so replacing sugar with molasses when baking would not be
appropriate for someone on a low potassium diet.

Choice D reason: Orange juice is high in potassium compared to apple juice, making it an unsuitable choice for
someone on a low potassium diet.

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A nurse is assisting with evaluating a newly licensed nurse who is draining an ileostomy bag for a client. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A nurse is assisting with evaluating a newly licensed nurse who is draining an ileostomy bag for a client. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

A nurse is assisting with evaluating a newly licensed nurse who is draining an ileostomy bag for a client. Which of the

following actions by the newly licensed nurse indicates an understanding of the procedure?