A nurse is teaching a client who has an ileostomy about the care of their stoma site. Which of the following statements made by the client indicates the teaching was effective?
"I should clean my stoma with moisturizing soaр."
"I should expect my stoma to be blistered."
"I should cut my pouch opening 1/8 inch larger than my stoma."
"I should change my stoma pouch 30 minutes after meals."
The Correct Answer is C
Rationale:
A. "I should clean my stoma with moisturizing soap.": Moisturizing soaps can leave a residue that interferes with the adhesive seal of the ostomy pouch. The stoma and surrounding skin should be cleaned gently with mild, non-moisturizing soap and water to maintain skin integrity and pouch adhesion.
B. "I should expect my stoma to be blistered.": A healthy stoma should appear pink to red and moist. Blistering indicates trauma, irritation, or infection, which requires assessment and intervention, so this expectation is incorrect.
C. "I should cut my pouch opening 1/8 inch larger than my stoma.": Proper pouch sizing ensures a secure fit around the stoma while protecting the surrounding skin from effluent. Cutting the opening slightly larger than the stoma prevents pressure and irritation.
D. "I should change my stoma pouch 30 minutes after meals.": Ostomy pouch changes should be scheduled when effluent is minimal, typically every 3–7 days or when the pouch is leaking. Timing changes specifically after meals is unnecessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Zolpidem: Zolpidem is a sedative-hypnotic used for insomnia and does not have known interactions with saw palmetto. It primarily affects the central nervous system and does not influence platelet activity or coagulation pathways.
B. Ipratropium: Ipratropium is an anticholinergic bronchodilator used for respiratory conditions such as COPD and asthma. It does not interact with saw palmetto, as the herb mainly affects hormonal and coagulation pathways rather than respiratory medications.
C. Clopidogrel: Saw palmetto can potentiate the effects of antiplatelet and anticoagulant medications like clopidogrel, increasing the risk of bleeding. The herb exhibits mild antiplatelet activity, which can lead to additive effects and potential hemorrhagic complications when combined with platelet inhibitors.
D. Penicillin: Penicillin is an antibiotic with no pharmacologic interaction with saw palmetto. The herb does not interfere with antibacterial mechanisms or alter antibiotic metabolism, making concurrent use safe from an interaction standpoint.
Correct Answer is C
Explanation
A. A single light fixture along the sidewalk may not provide adequate lighting, increasing the risk of falls, and does not reflect proper home safety.
B. A small area rug at the front door can create a tripping hazard, indicating a need for improved safety measures.
C. Changing the batteries in the smoke alarms annually demonstrates that the client is maintaining functional smoke detectors, which is a key aspect of home safety. Regular maintenance of smoke alarms helps prevent fire-related injuries.
D. While a water heater set at 54° C (129.2° F) can prevent scalding, current safety recommendations suggest a slightly lower setting (around 49° C / 120° F) to maximize safety, so this is not the best indicator of proper understanding.
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