A patient has stools that are foulsmelling and that float on water. The nurse documents that this patient is having
Rhinorrhea.
Amenorrhea.
Steatorrhea.
Diarrhea.
The Correct Answer is C
Choice A Rhinorrhea refers to a runny or stuffy nose and is not related to the described stool characteristics.
Choice B Amenorrhea is the absence of menstruation and is not related to the described stool characteristics.
Choice C Steatorrhea is the presence of bulky, foulsmelling, floating stools that contain a high amount of undigested fat. It is often associated with malabsorption disorders or pancreatic
insufficiency.
Choice D Diarrhea is characterized by loose or watery stools and is not related to the described stool characteristics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A This change in blood pressure is not alarming and does not require immediate cessation of the procedure.
Choice B A slight increase in temperature is within a normal range and does not indicate an urgent issue related to the stool removal procedure.
Choice C A significant decrease in pulse rate suggests bradycardia, which can be a serious sign and might be caused by the stimulation of the vagus nerve during the procedure. The nurse should stop immediately and take corrective action.
Choice D An increase in respiratory rate may indicate increased anxiety or discomfort, but it is not an immediate cause for stopping the procedure.
Correct Answer is A
Explanation
A. When the left descending colon and rectum are removed, a colostomy is typically created. This involves bringing the proximal end of the remaining colon to the surface of the abdomen to create a stoma. The colostomy allows the rest of the bowel to heal and function normally.
B.A continent ostomy involves creating an internal reservoir with a valve, allowing the patient to control the evacuation of intestinal contents. This option is less common and usually associated with continent ileostomies rather than temporary diversions to rest a portion of the colon.
C. A Kock pouch is a type of continent ileostomy where an internal reservoir is created from the ileum, and the patient can empty the reservoir with a catheter. This is not typically used as a diversion for healing purposes involving the colon.
D.An ileostomy involves bringing the end of the ileum (the last part of the small intestine) to the surface of the abdomen to create a stoma. Given that the left descending colon and rectum were removed, this procedure is unlikely unless the entire colon is bypassed or removed, which is not specified in this scenario.
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