A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following information should the nurse include in the teaching?
"You can expect fecal output within 24 hours."
"You may experience a small amount of bleeding around the stoma."
"You can expect the stoma to be purplish in color for the first week.
"You will need to increase your dietary intake of raw vegetables."
The Correct Answer is B
A. "You can expect fecal output within 24 hours." Fecal output usually occurs within 2-4 days after surgery, not within 24 hours.
B. "You may experience a small amount of bleeding around the stoma." A small amount of bleeding around the stoma is normal, especially right after surgery.
C. "You can expect the stoma to be purplish in color for the first week." A healthy stoma should be pink to red. A purplish color could indicate poor blood supply and should be reported.
D. "You will need to increase your dietary intake of raw vegetables." Raw vegetables can cause gas and obstruction; clients are usually advised to avoid them initially.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cheddar cheese: While some cheeses contain potassium, cheddar cheese is not a particularly high source compared to bananas.
B. Cabbage: Cabbage contains some potassium, but again, bananas are a richer source.
C. White rice: White rice is generally low in potassium.
D. Bananas: They are a well-known source of potassium. Including bananas in the diet can help replenish potassium lost due to furosemide.
Correct Answer is D
Explanation
A. Perform hand hygiene with an alcohol-based agent: Alcohol-based hand sanitizers are not effective against C. difficile spores. Soap and water should be used.
B. Obtain stool cultures from all clients on the nursing unit: Only clients with symptoms should have stool cultures obtained.
C. Request the providers to initiate antibiotic therapy for every client on the unit: Antibiotic therapy should only be started after a confirmed diagnosis, as unnecessary antibiotics can contribute to antibiotic resistance.
D. Place all clients who have manifestations on contact precautions: This helps prevent the spread of C. difficile until lab results confirm the diagnosis.
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