A patient with a colostomy asks how often the faceplate (wafer) of the ostomy appliance should be changed. The most appropriate response by the nurse is that it is usually changed every

3 to 5 days.

1 to 3 days.

2 to 3 days.

4 to 7 days.

Answer and Explanation

The Correct Answer is D

Choice A Changing the faceplate every 3 to 5 days might be necessary for some individuals with specific needs, but it is not the typical frequency for most colostomy patients.

Choice B Changing the faceplate every 1 to 3 days is too frequent for most colostomy patients and might lead to unnecessary waste and discomfort.

Choice C Changing the faceplate every 2 to 3 days is still relatively frequent and might not be necessary for most colostomy patients.

Choice D Changing the faceplate every 4 to 7 days is the usual recommendation for colostomy patients, as it allows for sufficient wear time while minimizing the frequency of changes.

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Correct Answer is D

Explanation

Choice A Laxatives might be an option, but they should not be the first intervention. Other noninvasive measures should be tried first.

Choice B Administering a cleansing enema is not the first intervention for a patient having

trouble defecating into a bedpan. It is an invasive procedure and should be considered after less invasive measures have been tried.

Choice C Withholding pain medication might lead to unnecessary discomfort for the patient and is not the best approach to promote bowel movements.

Choice D Raising the head of the bed will help the patient assume a more upright position, which can facilitate bowel movement and defecation into the bedpan more effectively.

A. The patient with a pale blue stoma B. The patient with a continuous draining stoma C. The patient with a stoma that had fecal contents all over it. D. The patient with a beefy red, moist stoma

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale: A pale blue stoma indicates compromised perfusion or necrosis. This is a surgical emergency requiring immediate assessment to prevent tissue death and systemic complications.

Choice B rationale: Continuous drainage may reflect normal output depending on stoma type. It’s not immediately life-threatening and doesn’t require urgent intervention.

Choice C rationale: Fecal contamination is expected with colostomies. While hygiene is important, this does not indicate a critical issue needing priority care.

Choice D rationale: A beefy red, moist stoma is the expected healthy appearance of a functioning colostomy. No intervention is needed.

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A patient with a colostomy asks how often the faceplate (wafer) of the ostomy appliance should be changed. The most appropriate response by the nurse is that it is usually changed every

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?

Correct Answer is D

Explanation

A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?

Correct Answer is A

Explanation

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

A patient's admission assessment includes pertinent information about bowel elimination. Which subjective information collected by the nurse will be documented?

A male patient has told a nurse that he occasionally fights constipation. Teaching the patient how to prevent constipation and promote normal elimination, the nurse instructs him to

A nurse is digitally removing stool that is impacted from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

The nurse knows that the best way to clean around a colostomy stoma is to use the following

The nurse is caring for a patient with complaints of constant diarrhea for 3 days. The patient is exhibiting signs and symptoms of dehydration. The best fluid source for this patient to drink small amounts of is

What foods would increase colostomy odors?

A patient has stools that are foulsmelling and that float on water. The nurse documents that this patient is having