A nurse is teaching a client who has a new colostomy about how to control odors and flatus. Which of the following instructions should the nurse include?

"Chew sugar-free gum after each meal."

"Include eggs in your daily diet."

"Place a breath mint in the pouch."

"Avoid drinking cranberry juice."

Answer and Explanation

The Correct Answer is A

Choice A reason: Chewing sugar-free gum promotes salivation and digestion, which can help reduce gas formation. It also encourages swallowing less air, which minimizes flatus.

Choice B reason: Eggs are known to contribute to odor production in colostomy output due to sulfur-containing compounds. They should be limited if odor control is a concern.

Choice C reason: Placing a breath mint in the pouch is not a recommended or evidence-based method for odor control. It may interfere with the pouch’s function or cause irritation.

Choice D reason: Cranberry juice does not contribute to odor or flatus and may actually help reduce urinary tract odor. Avoiding it is unnecessary unless contraindicated for other reasons.

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Correct Answer is C

Explanation

Choice A reason: Explaining surgical risks is the responsibility of the provider performing the procedure. Nurses may reinforce information but do not obtain informed consent for surgical procedures.

Choice B reason: A client who is unable to write can still provide informed consent verbally or by other means, such as a witnessed mark or verbal agreement, depending on facility policy and legal standards.

Choice C reason: Informed consent is a voluntary agreement and can be withdrawn at any time. Signing the form does not obligate the client to proceed with the procedure.

Choice D reason: Blindness does not impair decision-making capacity. A client who is blind can provide informed consent independently if they understand the procedure and its risks.

A. Telephone number B. Room number C. Date of birth D. Diagnosis

Correct Answer is C

Explanation

Choice A reason: A telephone number may be used in outpatient settings but is not a standard identifier in inpatient medication administration protocols.

Choice B reason: Room number is not a reliable identifier, as clients may be moved or misassigned. It does not confirm identity.

Choice C reason: Date of birth is a standard and reliable patient identifier used alongside the client’s full name to ensure safe medication administration.

Choice D reason: Diagnosis is not a valid identifier. Multiple clients may share the same diagnosis, making it insufficient for confirming identity.

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A nurse is teaching a client who has a new colostomy about how to control odors and flatus. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about informed consent. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer medication to a client. Which of the following identifiers should the nurse use to identify the client?

Correct Answer is C

Explanation

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