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 D
Explanation
A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.
B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.
C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.
D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.
Correct Answer is ["B","C","E"]
Explanation
A. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the joints, particularly weight-bearing ones, but it does not have a direct impact on hearing. Therefore, it is not a risk factor for hearing impairment.
B. Occupation: Construction workers are often exposed to loud noise, which increases the risk of hearing impairment.
C. Furosemide: Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing impairment.
D. Hyperlipidemia: Hyperlipidemia, characterized by high levels of lipids in the blood, primarily affects cardiovascular health and does not directly contribute to hearing impairment. It is not considered a risk factor for hearing loss.
E. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with ototoxicity and can increase the risk of hearing impairment.
G. Lovastatin: Lovastatin is a statin used to lower cholesterol levels. While statins have side effects, they are not typically associated with ototoxicity or hearing impairment. Therefore, Lovastatin is not a risk factor for hearing loss.
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