A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?

Question-and-answer

Discussion

Role play

Return demonstration

Answer and Explanation

The Correct Answer is B

Choice A reason: A question-and-answer session might provide information but does not specifically encourage the client to share their feelings and concerns about the colostomy. It's more about imparting knowledge rather than addressing emotional needs.
Choice B reason: Discussion is an effective strategy to encourage the client to share their feelings about the colostomy. It creates an open environment for expressing concerns, asking questions, and receiving emotional support.
Choice C reason: Role play can be useful in teaching new skills or preparing for specific situations, but it might not be the best initial approach for someone struggling to accept a new colostomy. Emotional readiness and comfort should be addressed first.
Choice D reason: Return demonstration is a method to confirm the client's understanding of a procedure by having them perform it. It is more appropriate for assessing practical skills rather than addressing emotional concerns and readiness to engage with the stoma.

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Correct Answer is A

Explanation

Choice A reason: Dumping syndrome is a common complication after a gastroduodenostomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, sweating, palpitations, and dizziness shortly after eating are typical indicators of this condition. This happens because the rapid passage of food causes fluid shifts in the body and a release of gut hormones that can lead to the symptoms experienced.
Choice B reason: Bile reflux gastritis involves the backflow of bile into the stomach, which can cause inflammation and discomfort. However, it does not typically present with the acute symptoms described in this scenario, such as weakness and dizziness shortly after eating. Symptoms of bile reflux gastritis usually include chronic pain, nausea, and vomiting.
Choice C reason: Postprandial hypoglycemia occurs when blood sugar levels drop significantly after eating. While it can cause symptoms like dizziness and weakness, it typically occurs a few hours after a meal, not 15 minutes post-consumption. The timing of the symptoms described aligns more with dumping syndrome.
Choice D reason: Malnutrition refers to the lack of proper nutrition caused by not having enough food or not eating the right things. It does not typically present with acute symptoms like those described in the question. Chronic symptoms of malnutrition include weight loss, fatigue, and weakness over a longer period.

A. Epigastric pain during swallowing B. Regurgitation C. Progressive dysphagia D. Weight loss

Correct Answer is C

Explanation

Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.

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A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?

Correct Answer is A

Explanation

Which finding is the most common indication of esophageal cancer?

Correct Answer is C

Explanation

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