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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.

A. Avoid gas-producing foods. B. Add fluid and fiber to the diet. C. Promote active range-of-motion activities. D. Request that the provider prescribe a stool softener.

Correct Answer is B

Explanation

A. Avoid gas-producing foods: Avoiding gas-producing foods may reduce bloating but does not directly address constipation.
B. Add fluid and fiber to the diet. Increasing fluid and fiber intake helps to soften stool and promote regular bowel movements.
C. Promote active range-of-motion activities: While physical activity can help with bowel movements, active range-of-motion activities alone are not sufficient to address constipation.
D. Request that the provider prescribe a stool softener: This may be helpful but is usually considered after dietary measures have been attempted.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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