A patient with a colostomy says, “My pouch blows up like a balloon when I pass gas.”. What is an appropriate response by the nurse?

“Empty the gas like you would if the pouch was full of stool.”.

“Peel back a tiny corner of the skin barrier to allow gas to escape.”.

“Make a tiny pinhole in the top of the pouch to let air out.”.

“Remove the pouch and put on a new one when it gets too full of gas.”. .

Answer and Explanation

The Correct Answer is B

Choice A rationale
While emptying the gas from the pouch like you would if the pouch was full of stool might seem like a logical solution, it is not the most appropriate response. This could potentially lead to messiness and odor, which could cause embarrassment and discomfort for the patient.
Choice B rationale
Peeling back a tiny corner of the skin barrier to allow gas to escape is the most appropriate response. This allows the gas to be released in a controlled manner, reducing the risk of the pouch becoming too full and uncomfortable for the patient. It also minimizes the risk of odor and messiness.
Choice C rationale
Making a tiny pinhole in the top of the pouch to let air out is not recommended. This could potentially lead to leakage of stool, causing messiness and odor. It could also damage the pouch, requiring it to be replaced more frequently.
Choice D rationale
Removing the pouch and putting on a new one when it gets too full of gas is not the most appropriate response. This could be inconvenient for the patient and could potentially lead to skin irritation from frequent changes. It also does not address the issue of the pouch filling with gas.

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Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

Step 1 is to determine the amount of clindamycin palmitate in each mL of the oral suspension. This is done by dividing the total amount of clindamycin palmitate in 5 mL by 5. So, 75 mg ÷ 5 mL = 15 mg/mL.

Step 2 is to calculate the volume of oral suspension needed to deliver 225 mg of clindamycin palmitate. This is done by dividing the desired dose by the amount of clindamycin palmitate per mL. So, 225 mg ÷ 15 mg/mL = 15 mL.

Therefore, the nurse should administer 15 mL of clindamycin palmitate oral suspension.

A. “I take my other medications at least 30 minutes after my alendronate.”. B. “I take my alendronate on the same day every week with an 8-ounce glass of milk.”. C. “I sit up and read the morning paper after taking my alendronate.”. D. “I will need to have a bone density test occasionally while taking this medication.”.

Correct Answer is B

Explanation

Choice A rationale
Alendronate should be taken at least 30 minutes before the first food, beverage, or medication of the day with plain water only. This is because other beverages (including mineral water), food, and some medications are likely to reduce the absorption of alendronate.
Choice B rationale
Alendronate should not be taken with milk. This is because the calcium in the milk can bind to the alendronate, preventing it from being absorbed into the body and therefore making it less effective. This is why the patient’s statement indicates a need for further instruction.
Choice C rationale
After taking alendronate, the patient should not lie down and should remain fully upright (sitting, standing, or walking) for at least 30 minutes. This is to help alendronate reach the stomach more quickly and also to reduce the risk of irritation to the esophagus. Therefore, sitting up and reading the morning paper after taking alendronate is a correct practice.
Choice D rationale
Regular bone density tests are necessary while taking alendronate. This is to monitor the drug’s effectiveness in increasing bone mass and to adjust the treatment plan as necessary. Therefore, the patient’s statement is correct.

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A patient with a colostomy says, “My pouch blows up like a balloon when I pass gas.”. What is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer clindamycin palmitate 225 mg PO to a client. Available is clindamycin palmitate oral suspension 75 mg/5 mL. How many ml’s should the nurse administer?

Correct Answer is ["15"]

Explanation

A nurse is educating a patient with osteoporosis who has been prescribed alendronate 70 mg PO weekly (Fosamax). Which statement by the patient indicates a need for further instruction?

Correct Answer is B

Explanation

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