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 C

Explanation

Choice A reason: Memory loss is not typically associated with vitamin C deficiency. Memory loss can be related to various conditions, including neurological disorders or vitamin B12 deficiency.

Choice B reason: Brittle hair can be a sign of vitamin C deficiency due to its role in collagen production, which affects the health of hair. However, it is not as specific or common as bleeding gums.

Choice C reason: Bleeding gums are a common symptom of vitamin C deficiency. Vitamin C is essential for the maintenance of healthy connective tissue, which includes the gums. A deficiency can lead to scurvy, which manifests as bleeding gums among other symptoms.

Choice D reason: Constipation is not directly associated with vitamin C deficiency. While a healthy diet rich in vitamin C can aid digestion, constipation can be caused by a variety of factors unrelated to vitamin C intake.

A. The client's height B. The client's skinfold thickness C. The client's waist circumference D. The client's daily calorie intake

Correct Answer is A

Explanation

Choice A reason: To calculate BMI, the nurse needs the client's height and weight. BMI is calculated by dividing the weight in kilograms by the square of height in meters.

Choice B reason: Skinfold thickness is used to estimate body fat percentage, not BMI.

Choice C reason: Waist circumference is used as a measure of abdominal obesity, not for calculating BMI.

Choice D reason: Daily calorie intake is not required for BMI calculation; it is more relevant for dietary assessments
and weight management plans.

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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

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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?