A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[53.828125,93.828125],\"yRanges\":[164,204]}"
A. The stoma from a transverse colon resection with colostomy placement is typically located in the right iliac fossa, which is the lower right quadrant of the abdomen. This is where the transverse colon is most often brought to the surface for colostomy placement. It allows for easier access and drainage postoperatively.
B. The epigastric area, which is located above the umbilicus, is not a typical location for a colostomy stoma. This area is more commonly associated with upper abdominal organs such as the stomach and liver.
C. The left iliac fossa is generally where a descending or sigmoid colostomy would be placed, rather than a transverse colon resection. This location would be expected for colostomies created from the descending colon, not the transverse colon.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Humidified oxygen is an essential intervention for a client with flail chest. Flail chest occurs when multiple rib fractures result in a segment of the chest wall that moves independently during breathing. This leads to respiratory distress, and providing humidified oxygen helps improve oxygenation and reduce airway irritation.
B. Fluid restriction is not indicated for flail chest unless there is another specific condition (e.g., heart failure) that requires it. The primary concern in flail chest is respiratory support, not fluid management.
C. While acetaminophen may be used for pain management, it is not the priority in managing flail chest. Pain control is important, but the focus should be on ensuring adequate ventilation and oxygenation.
D. Antibiotic medication is not indicated unless there is evidence of infection, such as pneumonia. Flail chest itself does not require antibiotics unless there are associated complications like a chest infection.
Correct Answer is A
Explanation
A. Muscle weakness can be a sign of digoxin toxicity, especially if it is accompanied by other symptoms like nausea, vomiting, or blurred vision. The client should notify the provider immediately if these symptoms occur.
B. Taking digoxin with fiber is not necessary and may interfere with its absorption. The client should take digoxin on an empty stomach, or as directed by the provider, but not specifically with fiber to prevent constipation.
C. Increasing the dose of digoxin if the client experiences blurred vision could be dangerous. Blurred vision is actually a symptom of digoxin toxicity, and the client should not increase the dose but should notify the provider immediately.
D. The nurse should advise the client to hold the digoxin if their pulse is less than 60 beats per minute (not 50), as this could indicate bradycardia caused by digoxin. The client should contact their provider before taking the medication if their pulse is too low.
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