A patient has undergone a single-barrel descending colon colostomy for the palliative treatment of stage IV colon cancer. The nurse assesses the colostomy stoma to ensure that it is:
Beefy red and moist
Dusky maroon colored
Pale and pink
Pink and dry
The Correct Answer is A
Choice A reason: A healthy stoma should be beefy red and moist, indicating good blood supply and hydration.
Choice B reason: A dusky maroon color could indicate compromised blood supply or ischemia.
Choice C reason: A pale and pink stoma may suggest anemia or reduced blood flow.
Choice D reason: A stoma that is pink and dry could be dehydrated, which is not ideal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.
Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason : Heart disease prevention is essential in managing pulmonary edema, especially when it is related to a cardiac condition.
Choice B reason : A healthy lifestyle, including diet and exercise, supports overall heart health and can help manage pulmonary edema.
Choice C reason : Smoking cessation is critical as smoking can exacerbate heart conditions and pulmonary edema.
Choice D reason : The goal of weight control is typically to reduce BMI, not increase it to over 35, which is considered obese.
Choice E reason : Glycemic control is important for diabetic patients to manage their condition and reduce the risk of complications, including pulmonary edema.
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