A nurse is preparing to infuse a 250-mL unit of packed red blood cells (RBCs) over 2 hours.

The drop factor of the manual intravenous (IV) tubing is 15 drops/mL. How many drops per minute should the nurse adjust the flow rate to deliver?

Choice A rationale

The stoma for a sigmoid colostomy is typically located in the lower left abdomen. This is because the sigmoid colon is a part of the large intestine that is located in the lower left quadrant of the abdomen.

Choice B rationale

A stoma should appear pink or red and moist. A purple stoma could indicate a lack of blood supply, which is a medical emergency.

Choice C rationale

A sigmoid colostomy will produce formed stool because the sigmoid colon is the last part of the colon, where water is absorbed and stool is formed.

Choice D rationale

The end of the stoma (the part that sticks out from the abdomen) should not be painful after the procedure. If a patient experiences pain, it could indicate a complication such as a blockage or infection.

Choice A rationale

Visual aids can be very helpful for patients with impaired speech. They can use pictures, written words, or devices to help express their thoughts2324.

Choice B rationale

Allowing extra time to communicate with the patient is crucial. It can reduce frustration and improve the effectiveness of communication2324.

Choice C rationale

Completing sentences for the patient can be disrespectful and may not accurately convey the patient’s thoughts2324.

Choice D rationale

Asking open-ended questions can be challenging for a person with impaired speech. It’s better to ask yes/no questions or use other communication strategies2324.