A nurse is providing care for a young adult patient who has ulcerative colitis and is scheduled for an ileostomy surgery.
After a discussion with the healthcare provider, the patient expresses concern, “How will I ever be able to have a normal life after this?”
How should the nurse respond?
“Can you share how you think having the ileostomy will affect you?”
“Everyone worries about how they will manage their ileostomy at first.”.
“This will cure your disease so you don’t spend so much time in the hospital.”.
“Let’s discuss some strategies to help you adapt to life with an ileostomy.”. .
The Correct Answer is A
Choice A rationale
Asking the patient to share their concerns allows the nurse to understand the patient’s perspective and provide individualized care. It opens up a dialogue where the patient can express their fears and the nurse can provide reassurance and information.
Choice B rationale
While it’s true that many people worry about managing an ileostomy at first, this response does not address the patient’s specific concerns. It’s important to understand the patient’s individual fears and worries.
Choice C rationale
This response may be misleading. While an ileostomy can help manage the symptoms of ulcerative colitis, it does not cure the disease. It’s important to provide accurate information to the patient.
Choice D rationale
Discussing strategies to adapt to life with an ileostomy can be helpful, but it’s important to first understand the patient’s specific concerns. This response assumes what the patient needs without asking them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hepatitis A is most likely contracted from contaminated food or water. Hepatitis A virus (HAV) is transmitted by the fecal-oral route via contaminated food or infected food handlers. This is different from Hepatitis B, C, and D which are most commonly transmitted via infected blood or body fluids.
Choice B rationale
Hepatitis B is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Choice C rationale
Hepatitis C is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Choice D rationale
Hepatitis D is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Correct Answer is ["2"]
Explanation
Step 1: Identify the prescribed dose, which is 650 mg.
Step 2: Identify the available amount, which is 325 mg per tablet.
Step 3: Divide the prescribed dose by the available amount to find the number of tablets. So, 650 mg ÷ 325 mg/tablet = 2 tablets. Therefore, the nurse should administer 2 tablets.
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