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
Choice A rationale:
Attending a support group to seek help and guidance for handling difficulties indicates the client's acceptance of having a new ileostomy. It demonstrates a proactive approach to coping with the challenges associated with living with an ileostomy.
Choice B rationale:
Having a partner empty the bag for the client to avoid looking at it may indicate avoidance or denial rather than acceptance. While support from a partner is essential, it's also important for the client to actively participate in self-care and adaptation.
Choice C rationale:
Looking forward to having normal bowel movements again may indicate a lack of acceptance or unrealistic expectations since having an ileostomy means a change in bowel function. The client should be educated about the permanence of the ileostomy.
Choice D rationale:
Wishing for a return to the pre-ileostomy sexual relationship may indicate difficulty accepting the changes in body image and function that come with an ileostomy. It may also suggest unrealistic expectations. The client should be encouraged to seek support and counseling for body image issues and sexual concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Injecting additional insulin before exercising is not a recommended practice for individuals with type 1 diabetes mellitus. It can lead to hypoglycemia (low blood sugar) during exercise. The goal is to ensure that blood glucose levels are within a safe range before starting physical activity.
Choice B rationale:
Eating a piece of fruit before exercising is a suitable recommendation for someone with type 1 diabetes mellitus. Consuming a source of carbohydrates, such as fruit, can help prevent hypoglycemia during exercise. Carbohydrates provide a steady source of glucose for energy.
Choice C rationale:
Exercising when insulin is at its peak action can be risky for individuals with type 1 diabetes. At this time, the risk of hypoglycemia is higher because insulin is actively lowering blood sugar levels. It is generally recommended to exercise when insulin is at a moderate or lower level of activity to reduce the risk of hypoglycemia.
Choice D rationale:
Avoiding protein before exercising is not a specific recommendation for individuals with type 1 diabetes mellitus. While protein does not directly impact blood glucose levels as carbohydrates do, it is an essential nutrient for overall health. A balanced meal or snack that includes carbohydrates and protein is typically a better choice before exercise.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
Elevate extremity.Anticipated.This helps to reduce swelling and improve blood flow to the affected area. Send the catheter tip for culture.Anticipated.This helps to identify the possible cause of infection and guide the appropriate antibiotic therapy.
Assist in inserting a new IV catheter in a site distal to infiltration site.Contraindicated.A new IV catheter should be inserted in a site proximal to the infiltration site or in another extremity to avoid further damage to the infiltrated vein.
Suggest irrigating the IV catheter.Contraindicated.Irrigating the IV catheter may worsen the infiltration and increase the risk of complications.
Apply a cool compress to the extremity.Anticipated.This helps to reduce inflammation and pain at the infiltration site.
Administer phytonadione.Contraindicated.Phytonadione is a vitamin K antagonist that is used to reverse the effects of warfarin, an anticoagulant.It has no role in the management of IV infiltration.
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