A nurse is teaching a dent who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

"Your colostomy will not produce formed steel.”

"You will have a stoma in your left lower abdomen.”

"You should expect your store to be a purple color."

“The end of the stoma will be painful after this procedure.”

Answer and Explanation

The Correct Answer is B

A. "Your colostomy will not produce formed stool.” A sigmoid colostomy produces formed stool because it is at the end of the large intestine, where water is absorbed.

B. "You will have a stoma in your left lower abdomen." A sigmoid colostomy is placed in the left lower quadrant (LLQ) of the abdomen.

C. "You should expect your stoma to be a purple color." A healthy stoma should be pink to red and moist. A purple, dusky, or dark-colored stoma may indicate ischemia and requires immediate evaluation.

D. "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. However, the surrounding abdominal incision may be sore.

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Correct Answer is D

Explanation

A. The intestine is twisted around itself causing severe pain: This describes volvulus, a different condition that causes intestinal obstruction and ischemia.

B. The child's intestine has a large blockage of scar tissue: This describes intestinal strictures, which can occur due to Crohn’s disease or previous surgery, not Hirschsprung’s disease.

C. The child's intestine has slipped inside of itself: This describes intussusception, where one part of the intestine telescopes into another, causing obstruction.

D. The intestine is missing crucial nerves to aid in peristalsis: Hirschsprung’s disease is a congenital disorder where the ganglion cells (nerve cells responsible for peristalsis) are absent in parts of the intestine, leading to obstruction and difficulty passing stool.

A. The client most likely has a diagnosis of pancreatic cancer." B. "I will carefully assess the newly formed ileostomy stoma every four hours" C. "Following this procedure, the client is at a higher risk for developing malabsorption issues.” D. "The recovery time after a Whipple procedure is long.”

Correct Answer is ["A","C","D"]

Explanation

A. "The client most likely has a diagnosis of pancreatic cancer." The Whipple procedure is primarily performed for pancreatic cancer, particularly in the head of the pancreas.

B. "I will carefully assess the newly formed ileostomy stoma every four hours." The Whipple procedure does not involve creating an ileostomy. It involves removal of the pancreas head, duodenum, gallbladder, and bile duct, with digestive tract reconstruction.

C. "Following this procedure, the client is at a higher risk for developing malabsorption issues." Since a portion of the pancreas is removed, clients may experience malabsorption and pancreatic enzyme insufficiency, leading to steatorrhea and nutrient deficiencies.

D. "The recovery time after a Whipple procedure is long." The Whipple procedure is major surgery with a prolonged recovery period due to the complexity of digestive system reconstruction and the risk of complications like delayed gastric emptying and anastomotic leakage.

E. "With this procedure completed, the client's prognosis is good." Pancreatic cancer has a poor prognosis even after a Whipple procedure. Survival rates remain low, and recurrence is common.

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A nurse is teaching a dent who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the client's medical record and notes a diagnosis of Hirschsprung's Disease. Which of the following correlates to this illness?

Correct Answer is D

Explanation

The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient? (Select All that Apply

Correct Answer is ["A","C","D"]

Explanation

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