A nurse is reinforcing teaching for a client who has a new ascending colostomy. Which of the following comments by the client indicates an understanding of the teaching?
I will irrigate the colostomy every day.
I will notify my doctor if the stoma starts to look purple.
I will no longer be able to eat nuts.
I should expect my stool to be formed.
The Correct Answer is B
I will notify my doctor if the stoma starts to look purple
The comment by the client indicating an understanding of the teaching is option B: "I will notify my doctor if the stoma starts to look purple."
I will irrigate the colostomy every day in (option A) is incorrect. Colostomy irrigation is not necessary for all clients with an ascending colostomy. It is important to individualize the teaching based on the client's specific needs and healthcare provider's instructions. Routine colostomy irrigation may not be required, and the client should follow the healthcare provider's guidance regarding colostomy care.
I will no longer be able to eat nuts in (option C) is incorrect. There are generally no dietary restrictions for clients with an ascending colostomy, unless otherwise advised by their healthcare provider. It is important to provide accurate information about dietary considerations, which may vary based on individual circumstances and healthcare provider recommendations.
I should expect my stool to be formed in (option D) is incorrect. With an ascending colostomy, the stool is typically liquid or semi-liquid as it comes from the ascending colon, which is higher in the gastrointestinal tract. The stool is not expected to be formed. It is important for the client to have appropriate expectations regarding stool consistency to manage their colostomy effectively.
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Related Questions
Correct Answer is A
Explanation
Soiled linens are placed on the floor.
Soiled linens placed on the floor can potentially harbor pathogens and serve as a source of infection. It is important to handle soiled linens properly by placing them in designated containers or bags for proper disposal or laundering.
Dampened cloths used for dusting the area in (option B) is incorrect because it may be a source of infection if they are not properly cleaned and disinfected between uses. It is important to use clean and dry cloths for dusting, or if dampened cloths are used, they should be washed and disinfected regularly.
Uncapped sharps put in a puncture-resistant container in (option C) is incorrect because are not a direct source of infection. However, it is crucial to handle sharps safely to prevent accidental needlestick injuries and potential transmission of bloodborne pathogens. Proper disposal of sharps in puncture-resistant containers is important for safety and infection control.
Waste containers lined with single bags in (option D) is incorrect because they are not a direct source of infection. Using single bags in waste containers helps with proper disposal and prevents leakage or spillage of waste materials. It is important to handle and dispose of waste according to institutional policies and infection control guidelines.
In summary, when caring for an immunocompromised client, the nurse should be vigilant about sources of infection. Placing soiled linens on the floor can be a potential source of infection and should be avoided. Proper handling of sharps, using clean cloths for dusting, and following appropriate waste disposal practices are also important for infection control.
Correct Answer is A
Explanation
Choice A- Ask the family if they want to participate in postmortem care Asking the family if they want to participate in post-mortem care is an important step to involve them in the process and respect their wishes. Some families may prefer to have healthcare professionals handle the post-mortem care, while others may want to participate in certain aspects. It is crucial to communicate and collaborate with the family to ensure their preferences are respected. Choice B- Lie the head of the client's bed flat. This response is not appropriate. Elevate the head of the bed as soon as possible after death to prevent discoloration of the face. Choice C- Place medical equipment to the side of the client's bed. Is not directly related to the preparation for a post-mortem family viewing. However, it is important to ensure a respectful and organized environment during the viewing, so any unnecessary medical equipment or supplies should be removed from the immediate vicinity of the client's bed. Choice D-Remove the client's dentures to close their mouth. Leave dentures in the mouth to maintain facial shape.The mouth can be gently closed without removing dentures, unless there are specific cultural or family preferences regarding the dentures.
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