A nurse is evaluating a client's acceptance of having a new ileostomy. Which of the following statements by the client indicates acceptance?
"I will attend a support group to help me handle difficulties when they occur."
"I have my partner empty the bag for me, so I don't have to look at it."
"I look forward to having normal bowel movements again."
"I wish my sexual relationship with my partner was like it was before."
The Correct Answer is A
The correct answer is choice A, "I will attend a support group to help me handle difficulties when they occur." This statement indicates that the client is accepting the situation and taking proactive steps to manage any difficulties that may arise. Choice B is incorrect because relying on someone else to empty the bag suggests possible denial or avoidance of the situation. Choice C is incorrect because normal bowel movements after an ileostomy may not happen. Choice D is incorrect because it is not related to acceptance of the ileostomy. Choice B is not correct because it shows possible denial or avoidance of the situation. Choice C is not correct because normal bowel movements may not occur. Choice D is not correct because it is not related to acceptance of the ileostomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
"Consume 500 fewer calories per day than your estimated calorie needs." Consuming slightly fewer calories than one's estimated calorie needs can help promote weight loss in a healthy and safe way. Planningmeals so that up to 40% of calories come from fats is not typically recommendedwhen trying to lose weight, as too much fat can lead to excess calorie intake. Refined grains should be avoided in favor of whole grains, and it is not recommended to reward oneself with special foods for achieving short-termgoals.
Choice B: Planning meals so that up to 40% of calories come from fat is nottypically recommended when trying to lose weight, as too much fat can lead toexcess calorie intake.
Choice C: Refined grains should be avoided in favor of wholegrains.
Choice D: It is not recommended to reward oneself with special foods forachieving short-term goals.
Correct Answer is A
Explanation
Ringing in ears. Furosemide is a loop diuretic, which can cause ototoxicity as an adverse effect, resulting in ringing in the ears, hearing loss, or vertigo. The nurse should instruct the client to monitor for these adverse effects and report them immediately if they occur.
An explanation for incorrect choices:
B. Metallic taste is a common adverse effect of metronidazole or clarithromycin, but not furosemide.
C. Rhinitis is associated with intranasal or occasionally oral corticosteroid use.
D. Agitation is a side effect for stimulants, sedatives, or antidepressants.
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