A nurse is speaking to a patient about his recent bowel movement. He says, "Sometimes my bowel movements are greenish in color. Is that normal?" The nurse replies:

"Large amounts of dairy products can cause your stools to turn green."

"If you take iron tablets, your stools can become greenish."

"Eating green foods such as spinach or green food coloring can cause your stools to have a greenish tint."

"Typically our diet has very little to do with the color of our stools, so you need to tell your physician about it."

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.

Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.

Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.

Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.

A. Colostomy. B. Continent ostomy. C. Kock pouch. D. Ileostomy.

Correct Answer is A

Explanation

A. When the left descending colon and rectum are removed, a colostomy is typically created. This involves bringing the proximal end of the remaining colon to the surface of the abdomen to create a stoma. The colostomy allows the rest of the bowel to heal and function normally.

B.A continent ostomy involves creating an internal reservoir with a valve, allowing the patient to control the evacuation of intestinal contents. This option is less common and usually associated with continent ileostomies rather than temporary diversions to rest a portion of the colon.

C. A Kock pouch is a type of continent ileostomy where an internal reservoir is created from the ileum, and the patient can empty the reservoir with a catheter. This is not typically used as a diversion for healing purposes involving the colon.

D.An ileostomy involves bringing the end of the ileum (the last part of the small intestine) to the surface of the abdomen to create a stoma. Given that the left descending colon and rectum were removed, this procedure is unlikely unless the entire colon is bypassed or removed, which is not specified in this scenario.

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A nurse is speaking to a patient about his recent bowel movement. He says, "Sometimes my bowel movements are greenish in color. Is that normal?" The nurse replies:

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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