A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?

The patient with a pale blue stoma

The patient with a continuous draining stoma

The patient with a stoma that had fecal contents all over it.

The patient with a beefy red, moist stoma

Answer and Explanation

The Correct Answer is C

Choice A A pale blue stoma may indicate a lack of blood supply (ischemia) to the stoma, which is concerning but not as immediately critical as fecal contamination.

Choice B A continuous draining stoma is normal, and there is no indication of an urgent issue in this scenario.

Choice C This patient should be seen first and made a priority as fecal contamination of the stoma can lead to skin irritation, infection, and complications. Immediate cleaning and appropriate care are necessary.

Choice D A beefy red, moist stoma is a healthy stoma appearance and does not indicate an urgent issue.

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Correct Answer is ["A","C"]

No explanation

A. 300 to 500 mL B. 500 to 1000 mL C. 200 to 300 mL D. 050 to 150 mL

Correct Answer is B

Explanation

ChoiceA: This volume might be insufficient for a large volume, cleansing enema, as it may not effectively cleanse the colon.

Choice: This range is the appropriate volume for a large volume, cleansing enema, as it provides enough fluid to cleanse the colon effectively without causing excessive distension.

Choice C: This volume is too low for a large volume, cleansing enema, and it may not be enough to achieve the desired effect.

Choice D: This volume is too low for a large volume, cleansing enema, and it may not effectively cleanse the colon.

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A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse can expect that which of the following patients are most likely to suffer from fecal incontinence? Select all that apply.

Correct Answer is ["A","C"]

There is an order to administer a large volume, cleansing enema to an adult patient. The enema bag is filled with how many milliliters of fluid for this procedure?

Correct Answer is B

Explanation

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