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.

Answer and Explanation

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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Correct Answer is A

Explanation

Dark red urine following a transurethral resection of the prostate (TURP) can indicate active bleeding or hematoma formation. It is important to notify the provider because further assessment and intervention may be necessary to address the source of the bleeding and prevent complications.
B. Frequent urge to urinate is expected after a TURP procedure as the bladder recovers and adapts to the changes. This is not a concerning finding and does not require immediate reporting to the provider.
C. A urine output of 300 mL over 8 hours can be considered adequate, especially in the early postoperative period. The nurse should continue to monitor the client's urinary output, but this finding does not require immediate reporting.
D. Occasional small clots in the urine can be expected after a TURP procedure due to the healing process and sloughing of tissue. However, if the clots become large or obstructive, or if there is a sudden increase in the frequency of clots, it should be reported to the provider.

A. Dorsal recumbent B. Supine C. Semi-Fowler's D. Left lateral

Correct Answer is C

Explanation

The Semi-Fowler's position is a sitting position with the head of the bed elevated at an angle between 30 to 45 degrees. This position helps to reduce swelling and promote comfort and respiratory function after a thyroidectomy. The elevation of the head and upper body helps to prevent pressure on the surgical site, reduces the risk of swelling, and facilitates breathing.

Dorsal recumbent in (option A) is incorrect because it, is a supine position with the knees flexed and the feet flat on the bed. This position is not typically used postoperatively for a subtotal thyroidectomy.

Supine in (option B) is incorrect because it, is a position where the client lies flat on their back with their face up. While this position may be used for some postoperative clients, it is not the best choice for a client who has undergone a thyroidectomy due to the risk of swelling and respiratory discomfort.

Left latera in (option D) is incorrect because it, is a side-lying position on the left side. This position may be used for clients undergoing certain surgical procedures or for certain medical conditions, but it is not specifically indicated for a client who has had a subtotal thyroidectomy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?

Correct Answer is C

Explanation

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