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 B

Explanation

Choice A reason: Obesity is a risk factor for various cancers but is not specifically a primary risk factor for prostate cancer. It can contribute to overall health problems that indirectly affect cancer risk.
Choice B reason: Being male is a primary risk factor for prostate cancer, as this type of cancer affects the prostate gland, which is present only in men. The risk increases significantly with age and other factors.
Choice C reason: Age is a significant risk factor, with the incidence of prostate cancer increasing in men over 50. However, the most defining factor is being male.
Choice D reason: Moderate alcohol use is not specifically linked to an increased risk of prostate cancer. While excessive alcohol consumption can affect overall health, it is not a primary risk factor for prostate cancer.

A. Question-and-answer B. Discussion C. Role play D. Return demonstration

Correct Answer is B

Explanation

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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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 is screening a client for cancer risk factors. The nurse records that the client is a 65-year-old male, clinically obese with a BMI of 31, has a history of past smoking, and drinks moderately. Which of the following is a primary risk factor for prostate cancer?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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