A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?

The client requires the use of a colostomy bag.

The client has a loss of appetite following surgery.

The client has absent bowel sounds in the lower abdominal quadrants.

The client is experiencing mild pain at the surgical site when sitting up.

Answer and Explanation

The Correct Answer is C

Choice A reason: The use of a colostomy bag is expected following surgery for colorectal cancer that involves the creation of a stoma. This does not indicate a complication.
Choice B reason: A loss of appetite is common after major surgery and can be managed with nutritional support and gradual reintroduction of food.
Choice C reason: Absent bowel sounds in the lower abdominal quadrants could indicate a paralytic ileus or bowel obstruction, which are serious complications requiring immediate intervention to prevent further issues such as bowel ischemia.
Choice D reason: Mild pain at the surgical site is expected and can be managed with prescribed pain medications. It does not indicate a serious complication.

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Correct Answer is A

Explanation

Choice A reason: A purplish-colored stoma indicates compromised blood flow, which is a medical emergency that requires immediate attention to prevent tissue necrosis.
Choice B reason: A rosebud-like stoma orifice is a normal appearance for a healthy stoma and does not need to be reported.
Choice C reason: Some oozing of red drainage from a new stoma can be expected postoperatively and is generally not alarming unless it is excessive or persistent.
Choice D reason: A shiny, moist stoma indicates a healthy stoma and is expected; no need to report this finding.

A. Hypolipidemia B. Diabetes mellitus C. Gallstones D. COPD

Correct Answer is C

Explanation

Choice A reason: Hypolipidemia, or low levels of lipids in the blood, is not typically associated with acute pancreatitis. Hyperlipidemia (high levels of lipids) is a more relevant factor.
Choice B reason: Diabetes mellitus is a chronic condition that can develop as a result of chronic pancreatitis, but it is not a direct risk factor for acute pancreatitis.
Choice C reason: Gallstones are a common cause of acute pancreatitis. They can block the pancreatic duct, leading to inflammation and pain.
Choice D reason: COPD, a chronic lung disease, is not associated with acute pancreatitis and does not increase the risk for this condition.

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A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Correct Answer is C

Explanation

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