A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

full.

1/2 full

1/4 full.

3/4 full.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B.

Choice A rationale: Waiting until the ostomy drainage bag is full increases the risk of leakage and can put undue pressure on the stoma, leading to potential skin irritation or damage. Regular emptying is crucial for maintaining stoma health and preventing complications.

Choice B rationale: Emptying the ostomy drainage bag when it is 1/2 full is recommended to prevent leaks and reduce pressure on the stoma. This practice helps maintain skin integrity around the stoma and ensures the drainage bag functions effectively.

Choice C rationale: Emptying the ostomy drainage bag when it is only 1/4 full may be too frequent and unnecessary, leading to increased use of supplies and potential irritation from frequent manipulation. It is more practical to aim for 1/2 full for routine care.

Choice D rationale: Waiting until the ostomy drainage bag is 3/4 full increases the risk of leakage and pressure on the stoma, similar to waiting until it is full. It is essential to empty the bag more regularly to maintain optimal stoma health and prevent issues

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Correct Answer is C

Explanation

Choice A For an ileostomy, liquid consistency of stool is expected as the output, and it is not an immediate concern.

Choice B Foul odor from the stool is common with ileostomy output, and while it can be unpleasant, it is not an immediate concern.

Choice C This finding should be reported immediately, as it could indicate bleeding from the stoma or intestinal mucosa, which requires prompt evaluation and intervention.

Choice D Continuous output from an ileostomy is normal and expected, so it is not a cause for immediate concern.

A. Cause of the patient's anxiety and fear. B. Patient's bowel sounds and presence of gas. C. Family's questions about the procedure. D. Patient's lung sounds and respiratory rate.

Correct Answer is A

Explanation

Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide

emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.

Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.

Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.

Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.

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A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

Correct Answer is C

Explanation

The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Correct Answer is A

Explanation

A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction?

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