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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Dumping syndrome is not commonly associated with dysphagia post-stroke.

Choice B reason: Aspiration is a significant risk for patients with dysphagia following a stroke and should be closely monitored to prevent complications like aspiration pneumonia.

Choice C reason: Gastroesophageal reﬂux disease may occur but is not the most immediate concern for stroke patients with dysphagia.

Choice D reason: Peptic ulcer disease is not directly related to dysphagia and is less likely to be an immediate complication post-stroke.

A. Ask whether the patient has any questions about the procedure. B. Ask the patient to void before the procedure. C. Check for an allergy to iodine or shellfish. D. Assess the client's ability to remain still for the procedure.

Correct Answer is C

Explanation

Choice A reason: While it is important to address any questions the patient may have, it is not the highest priority before an IVP procedure.

Choice B reason: Asking the patient to void before the procedure is a standard practice, but it is not the highest priority. The bladder should be empty to allow for clear imaging, but this can be managed at the time of the procedure.

Choice C reason: Checking for an allergy to iodine or shellfish is the highest priority because the contrast medium used in an IVP can cause severe allergic reactions in patients with these allergies. This assessment must be done before administering the contrast to prevent potentially life-threatening complications.

Choice D reason: Assessing the client's ability to remain still is important for the quality of the images, but it is not as critical as ensuring the safety of the patient regarding potential allergic reactions.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

Correct Answer is B

Explanation

The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

Correct Answer is C

Explanation

Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

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