A nurse is collecting data from a patient who has a newly placed colostomy.
Which of the following findings would indicate to the nurse that the patient has accepted their new altered body image?

Accepts that sexual activity will decrease.

Denies feelings of sadness about the ostomy.

Participates in performing ostomy care.

Prefers not to look at the stoma site.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Accepting that sexual activity will decrease does not necessarily indicate acceptance of a new altered body image. It may reflect a misunderstanding or fear about the impact of the colostomy.

Choice B rationale

Denying feelings of sadness about the ostomy does not necessarily indicate acceptance of a new altered body image. It may suggest that the patient is not fully acknowledging the emotional impact of the change.

Choice C rationale

Participating in performing ostomy care is a positive sign that the patient has accepted their new altered body image. It shows that the patient is taking an active role in their care and adapting to the change.

Choice D rationale

Preferring not to look at the stoma site does not indicate acceptance of a new altered body image. It may suggest avoidance or denial.

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Correct Answer is D

Explanation

Choice A rationale

Avoiding administration of the influenza vaccine is not a recommended intervention for a patient experiencing sickle cell crises. Vaccinations are important for patients with sickle cell disease to prevent infections that can trigger crises.

Choice B rationale

Providing a diet that is low in protein is not a recommended intervention for a patient experiencing sickle cell crises. Patients with sickle cell disease need a balanced diet that includes adequate protein to support tissue repair and growth.

Choice C rationale

Decreasing fluid intake to 1,500 mL daily is not a recommended intervention for a patient experiencing sickle cell crises. Adequate hydration is important to prevent sickling of cells and to maintain blood volume.

Choice D rationale

Maintaining the patient on bed rest is the correct intervention. Rest can help to decrease the body’s demand for oxygen, reduce stress on the body, and prevent complications such as acute chest syndrome.

A. “Having a total cholesterol level below 200 mg/dL increases my stroke risk.”. B. “I can decrease my stroke risk by losing excess weight.”. C. “My provider might prescribe a glucocorticoid regimen to decrease my stroke risk.”. D. “My stroke risk increases if my HbA1c level is 6 percent or less.”.

Correct Answer is B

Explanation

Choice A rationale

Having a total cholesterol level below 200 mg/dL is generally considered healthy and does not increase stroke risk. High cholesterol can contribute to atherosclerosis, a condition that increases stroke risk.

Choice B rationale

Losing excess weight can indeed help decrease stroke risk. Obesity is a risk factor for several health conditions that increase stroke risk, including hypertension and diabetes.

Choice C rationale

Glucocorticoids are not typically prescribed to decrease stroke risk. In fact, long-term use of glucocorticoids can increase the risk of conditions such as hypertension and diabetes, which in turn can increase stroke risk.

Choice D rationale

An HbA1c level of 6 percent or less is generally considered good blood sugar control for people with diabetes. Good blood sugar control can help prevent complications of diabetes, including stroke.

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A nurse is collecting data from a patient who has a newly placed colostomy.Which of the following findings would indicate to the nurse that the patient has accepted their new altered body image?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a patient who is experiencing sickle cell crises. What interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A nurse is collecting data from a patient who has a newly placed colostomy.
Which of the following findings would indicate to the nurse that the patient has accepted their new altered body image?