A nurse is assisting with teaching a client who is preoperative for an ileostomy. Which of the following statements
should the nurse include?
"You should expect your stoma to be a purple color."
"The end of the stoma will be painful after this procedure."
"You will have a stoma placed in your right lower abdomen."
"You will have solid stool pass through your stoma."
The Correct Answer is C
The correct answer is c. "You will have a stoma placed in your right lower abdomen."
Choice A reason: The stoma should appear red and moist, similar to the inside of the mouth, not purple.
Choice B reason: The stoma does not have nerve endings, so it should not be painful.
Choice C reason: An ileostomy is typically placed in the right lower abdomen.
Choice D reason: Stool passing through an ileostomy is usually liquid to pasty, not solid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Metabolic Acidosis typically results from conditions that increase acid production or decrease acid excretion, not from vomiting.
Choice B reason: Respiratory Acidosis is caused by hypoventilation leading to an accumulation of carbon dioxide, which is not directly related to vomiting.
Choice C reason: Metabolic Alkalosis can occur due to the loss of stomach acids through prolonged vomiting, leading to an excess of bicarbonate in the body fluids.
Choice D reason: Respiratory Alkalosis is usually caused by hyperventilation, not by vomiting.
Correct Answer is A
Explanation
Choice A reason: Muscle weakness is a common symptom of hypokalemia, as potassium is crucial for muscle function and nerve signals that stimulate muscle contractions.
Choice B reason: Cerebral edema is not a typical manifestation of hypokalemia. It is more commonly associated with other conditions such as brain injury or disease.
Choice C reason: Hypertension is generally not a direct result of hypokalemia. In fact, low potassium levels can sometimes lead to lower blood pressure.
Choice D reason: Hyperactive bowel sounds are not specifically associated with hypokalemia. Diarrhea can cause fluid loss leading to hypokalemia, but the condition itself does not cause hyperactive bowel sounds.
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