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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Decreased bowel sounds are not typically associated with diarrhea. Diarrhea usually presents with
increased bowel sounds due to hyperactive gastrointestinal motility.
Choice B reason: A rigid abdomen may suggest an acute abdomen that requires immediate medical attention, not a common finding in uncomplicated cases of diarrhea.
Choice C reason: Hypothermia is not a common finding in diarrhea. Fever may occur if the diarrhea is infectious in
origin.
Choice D reason: Dehydration is a common finding in patients with prolonged diarrhea due to excessive loss of fluids
and electrolytes.
Correct Answer is A
Explanation
Choice A reason: An upper GI endoscopy is typically performed to evaluate symptoms of persistent heartburn, as it allows direct visualization of the esophagus, stomach, and duodenum, which are commonly affected by conditions that cause heartburn.
Choice B reason: Flexible sigmoidoscopy is used to examine the lower part of the colon, which is not typically
associated with symptoms of heartburn.
Choice C reason: A colonoscopy is used to view the entire colon and is not the first choice for investigating heartburn,
as this symptom is not directly related to the colon.
Choice D reason: A lower GI series, or barium enema, is an X-ray examination of the large intestine, which includes the colon and rectum. It is not typically used to diagnose conditions that cause heartburn.
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