A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
"Your colostomy will not produce formed stool."
"You should expect your stoma to be a purple color."
"The end of the stoma will be painful after this procedure."
"You will have a stoma in your left lower abdomen."
The Correct Answer is D
A. "Your colostomy will not produce formed stool." A sigmoid colostomy is located in the lower part of the large intestine where stool is typically more formed. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You should expect your stoma to be a purple color." A healthy stoma should be pink or red and moist. A purple, dusky, or dark color may indicate compromised blood flow to the stoma and is a sign of a medical emergency. This statement is incorrect.
C. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. Pain around the incision site may occur, but the stoma itself should not be painful. This statement is incorrect.
D. "You will have a stoma in your left lower abdomen." The sigmoid colon is located on the lower left side of the abdomen, so the stoma for a sigmoid colostomy is typically placed in this area. This statement is correct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Crackles upon auscultation: Crackles in the lungs can indicate fluid overload, leading to pulmonary edema.
B. Urine-specific gravity greater than 1.030: A urine-specific gravity greater than 1.030 typically indicates dehydration, not fluid volume excess.
C. Swelling at the IV site: Swelling at the IV site usually indicates infiltration or phlebitis, not necessarily fluid volume excess.
D. Bounding pulse: A bounding pulse is a sign of increased blood volume and can indicate fluid overload.
E. Pitting edema: Pitting edema is a common sign of fluid volume excess, particularly in the extremities.
Correct Answer is B
Explanation
A. Ripe bananas: Ripe bananas are typically recommended to help manage diarrhea because they are low in fiber and can help firm up stool.
B. Caffeinated beverages: Caffeinated beverages can act as stimulants, increasing bowel motility and potentially leading to diarrhea.
C. White rice: White rice is generally binding and can help manage diarrhea, not cause it.
D. Low-fiber cereal: Low-fiber cereals are less likely to cause diarrhea as they do not promote bowel motility.
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