A nurse is caring for a client following placement of a sigmoid colostomy, in which of the following locations should the nurse expect to find a stoma? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.
The Correct Answer is "{\"xRanges\":[42.16410928143713,54.140157185628745],\"yRanges\":[80.16085790884719,90.88471849865951]}"
A. Ascending colon area (right lower quadrant): This location corresponds to an ascending colostomy or ileostomy, not a sigmoid colostomy. The stoma here would produce more liquid stool due to its proximity to the small intestine.
B. Transverse colon area (upper abdomen): A stoma in this area represents a transverse colostomy, which produces semi-formed stool. This is not consistent with a sigmoid colostomy location.
C. Descending colon area (left upper quadrant): While descending colon colostomies are in the left side, they are higher up and produce more formed stool, but the typical sigmoid colostomy is lower in the left lower quadrant.
D. Sigmoid colon area (left lower quadrant): The sigmoid colon is located in the left lower quadrant of the abdomen. A sigmoid colostomy is placed here, producing more formed stool and allowing easier appliance management. This is the expected site for a stoma following sigmoid colostomy surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[26.598316618911177,38.05963467048711],\"yRanges\":[63.14199395770393,75.22658610271904]}"
Explanation
A. Right upper quadrant of the abdomen: An open cholecystectomy involves surgical removal of the gallbladder, which is located in the right upper quadrant beneath the liver. The incision is typically made just below the right rib cage, making area A the correct site for the dressing change.
B. Midline of the upper abdomen: This area corresponds to the epigastric region and would not align with the typical location for a gallbladder incision. Incisions here are more common for other abdominal surgeries, such as exploratory laparotomy.
C. Lower midline abdomen: This area is associated with procedures involving the lower gastrointestinal tract, such as appendectomy or hysterectomy, and is not consistent with a cholecystectomy incision.
D. Right lower quadrant: This region is typically related to surgeries involving the appendix, cecum, or right ovary, not the gallbladder. Selecting this area would not correspond to the correct postoperative site for a cholecystectomy.
Correct Answer is A
Explanation
A. Measure the client's abdominal girth daily: Monitoring abdominal girth helps assess the progression or reduction of ascites and guides the effectiveness of interventions such as diuretic therapy or paracentesis. Daily measurements provide objective data for evaluating fluid accumulation.
B. Position the client supine with legs elevated: Elevating the legs while supine is more appropriate for peripheral edema, not ascites. For ascites, semi-Fowler’s or upright positioning is preferred to promote comfort and reduce pressure on the diaphragm.
C. Restrict the client's sodium intake to 3 g per day: Sodium restriction is typically recommended to manage fluid retention in ascites, but standard guidelines suggest limiting sodium to 2 g per day, not 3 g, to optimize effectiveness.
D. Keep the client's daily protein intake below 0.8 g/kg: Clients with cirrhosis and ascites often require adequate protein to prevent muscle wasting and malnutrition. Restricting protein excessively can worsen nutritional status and is generally not recommended unless the client has hepatic encephalopathy.
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