The client is complaining of soreness around the stoma site. The nurse notes proper drainage in the bag, however, the surrounding skin is red, irritated, and moist. How will the nurse interpret this assessment?

This is normal with all new ostomies and the client needs educated on healing.

There is a leak in the appliance and the skin barrier will need replaced.

The ostomy is no longer functioning appropriately, the MD should be called.

The client is overhydrated causing watery stools.

Answer and Explanation

The Correct Answer is B

A.   Soreness and redness may occur with new ostomies, but persistent irritation may indicate a problem.
B.   Red, irritated, and moist skin around the stoma site suggests a leak in the appliance, and the skin barrier needs replacing.
C. The assessment does not suggest a malfunction in ostomy function but rather a skin integrity issue.
D.   Overhydration is not typically associated with skin irritation around the stoma.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Incentive spirometry is a technique that helps prevent atelectasis by encouraging deep breathing and lung expansion.
B. Nebulizer medications may be important for respiratory health but do not specifically address the risk of atelectasis.
C. Sequential compression devices are used to prevent deep vein thrombosis and do not directly address atelectasis.
D. A low-fat diet is not directly related to preventing atelectasis; respiratory exercises are more relevant.

A. Instruct the client to keep the specimen container refrigerated or on ice. B. Instruct the patient that they can use any type of container of their choice to collect the 24 hour urine specimen. C. Instruct the client to date and time the specimen container at the completion or end of the 24 hour urine collection. D. Keep the urine warm during collection.

Correct Answer is ["A","C"]

Explanation

A. Keeping the specimen container refrigerated or on ice helps preserve the integrity of the urine sample.
B. Using any type of container may not provide accurate results; a specific collection container is usually recommended.
C. Dating and timing the specimen container at the end of the 24-hour collection period are essential for accurate analysis.
D. Keeping the urine warm is not necessary and may not be practical during the entire collection period.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The client is complaining of soreness around the stoma site. The nurse notes proper drainage in the bag, however, the surrounding skin is red, irritated, and moist. How will the nurse interpret this assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a post-surgical client on methods to decrease the risk of atelectasis. Which of the following would be most important for the nurse to include in this teaching?

Correct Answer is A

Explanation

A nurse is providing instruction to a client who will be performing a 24 hour urine collection at home. Which of the following instructions will the nurse give the client?

Correct Answer is ["A","C"]

Explanation

Age, race, gender, and genetic inheritance are examples of what type of risk factors?

What is the best definition for health promotion?

The nurse is assessing a client's stoma after a newly placed ostomy. The nurse understands that which of the following are expected findings of a healthy appearing stoma?

A client is ordered to increase his warfarin to 5mg PO daily. The client has 2mg tablets on hand. How many tablets will the client take daily?

In caring for a client experiencing acute hypoxia, the nurse should prepare interventions to help the client for what other condition?

An older woman who is a resident of a long-term care facility has to get up and void several times during the night. Which of the following is an expected age-related change that can contribute to this occurrence?

A patient tells their nurse "I am scared about my surgery tomorrow". The nurse's response to the patient is "everything will be fine, you have nothing to worry about". This comment by the nurse would be considered which type of communication block?