A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?
You will have a stoma placed in your right lower abdomen.
The end of the stoma will be painful after this procedure.
You should expect your stoma to be a purple color.
You will have solid stool pass through your stoma.
The Correct Answer is AANDD
Choice A rationale
An ileostomy involves creating a stoma, or opening, in the abdominal wall. The location of the stoma is typically in the right lower abdomen.
Choice B rationale
The end of the stoma should not be painful after the procedure. If the patient experiences pain, it could indicate a complication and should be reported to the healthcare provider.
Choice C rationale
The patient should not expect the stoma to be a purple color. A healthy stoma should be red or pink. A purple stoma could indicate a lack of blood flow, which is a serious issue that needs immediate medical attention.
Choice D rationale
After an ileostomy, the patient will have liquid or semi-liquid stool pass through the stoma. This is because the large intestine, which normally absorbs water and forms solid stool, is bypassed or removed in the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale
A specific gravity of 1.036 is higher than the normal range of 1.005 to 1.030345. This could indicate dehydration or other conditions that cause the urine to be more concentrated. This finding should prompt the nurse to follow up.
Choice B rationale
A pH of 6.4 is within the normal range for urine, which is typically between 4.6 and 8.03. Therefore, this finding would not necessarily require follow-up.
Choice C rationale
The presence of proteinuria (protein in the urine) is abnormal and could indicate kidney disease or other serious health conditions. This finding should prompt the nurse to follow up.
Choice D rationale
The presence of hematuria (blood in the urine) can be a sign of several conditions, including urinary tract infections, kidney stones, or bladder infections. However, without more information, it’s not clear whether this finding alone should prompt the nurse to follow up.
Correct Answer is ["24"]
Explanation
Step 1 is: To find out how many mL/hr the IV pump should be set to deliver, we need to set up a proportion with the prescribed units of heparin on one side and the available units of heparin on the other side. So, the calculation is: (1,200 units/hr ÷ 25,000 units) × 500 mL = 24 mL/hr.
Therefore, the IV pump should be set to deliver 24 mL/hr.
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