A nurse is caring for a client who has a newly created colostomy. The client’s partner tells the nurse that the client refuses to look at the stoma. Which of the following actions should the nurse take?

Suggest the client join a support group for people who have colostomies.

Encourage the client and partner to avoid expressing negative feelings about the colostomy.

Instruct the client’s partner to assume care of the colostomy for the client.

Transfer the client to a rehabilitation facility for instruction about self-management of the colostomy.

Answer and Explanation

The Correct Answer is A

Choice A reason: Suggesting a support group helps the client address emotional resistance to the colostomy through peer support. This fosters psychological adjustment, reduces stigma, and promotes self-management by sharing experiences, aligning with evidence-based strategies to improve coping and adaptation in clients with new ostomies.
Choice B reason: Encouraging avoidance of negative feelings dismisses the client’s emotional response, hindering psychological adaptation. Accepting a colostomy requires processing grief and fear. Suppressing emotions delays coping, as psychological adjustment involves acknowledging feelings to integrate the stoma into the client’s self-image effectively.
Choice C reason: Instructing the partner to assume colostomy care undermines the client’s autonomy and delays self-management. Independence in stoma care is critical for psychological and practical adaptation. Dependency may hinder adjustment, as clients need to develop skills to manage their condition independently.
Choice D reason: Transferring to a rehabilitation facility is premature without trying in-hospital education or support groups. Most clients learn stoma care with nursing guidance. Transfer disrupts care continuity and may increase distress, failing to address emotional resistance directly, unlike peer support interventions.

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Correct Answer is C

Explanation

Choice A reason: Avoiding physical exercise is not recommended for multiple sclerosis, as moderate activity like walking or stretching improves muscle strength, balance, and fatigue management. Complete avoidance leads to deconditioning, worsening mobility and fatigue, which are common in MS, making this instruction counterproductive to symptom management.
Choice B reason: Taking hot baths is not advised for multiple sclerosis, as heat can exacerbate symptoms like fatigue and muscle weakness due to temperature sensitivity (Uhthoff’s phenomenon). Cool or lukewarm baths are safer, supporting symptom control, making this instruction harmful and inappropriate for MS management.
Choice C reason: Performing daily stretching exercises improves flexibility, reduces spasticity, and enhances mobility in multiple sclerosis. Stretching strengthens muscles and prevents contractures, supporting functional independence. This aligns with evidence-based MS management to mitigate symptoms and improve quality of life, making it the correct instruction.
Choice D reason: Limiting fluid intake to reduce bladder irritation is inappropriate, as adequate hydration (2-3 L/day) prevents urinary tract infections, common in MS due to bladder dysfunction. Fluid restriction can worsen symptoms and dehydration, making this instruction incorrect for managing MS-related bladder issues effectively.

A. Sweeten foods with fructose corn syrup. B. Increase intake of foods high in gluten. C. Increase intake of milk products. D. Consume foods high in bran fiber.

Correct Answer is D

Explanation

Choice A reason: Fructose corn syrup exacerbates irritable bowel syndrome (IBS) symptoms, as fermentable carbohydrates cause gas and bloating. IBS involves altered gut motility and microbiota, and high-fructose foods trigger visceral hypersensitivity, worsening abdominal pain and discomfort, making this an inappropriate dietary recommendation.
Choice B reason: Gluten-rich foods may worsen IBS in clients with non-celiac gluten sensitivity, causing bloating and diarrhea. Gluten disrupts gut motility in susceptible individuals, exacerbating IBS symptoms. Avoiding gluten is often advised, making increased intake counterproductive to managing IBS effectively.
Choice C reason: Milk products, containing lactose, worsen IBS in lactose-intolerant clients, causing bloating and diarrhea. Fermentable carbohydrates exacerbate gut dysmotility and visceral hypersensitivity, common in IBS, making increased dairy intake inappropriate for symptom management and dietary control in affected clients.
Choice D reason: Bran fiber, a soluble fiber, regulates bowel movements in IBS by adding bulk and stabilizing colonic transit. It reduces diarrhea and constipation, supporting microbiota health and alleviating symptoms. This evidence-based recommendation aligns with dietary management to improve gut function in IBS clients.

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A nurse is caring for a client who has a newly created colostomy. The client’s partner tells the nurse that the client refuses to look at the stoma. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

Correct Answer is D

Explanation

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