The management of the patient's gastrostomy is an assessment priority for the home care nurse. What statement would indicate that the patient is managing the tube correctly?

"The only time I flush my tube is when I'm putting in medications."

"I clean my stoma twice a day with alcohol."

"I try to stay still most of the time to avoid dislodging my tube."

"I flush my tube with water before and after each of my medications."

Answer and Explanation

The Correct Answer is D

Choice A reason:

Flushing the tube only when administering medications is not sufficient for proper maintenance. Regular flushing with water helps prevent clogs and ensures tube patency.

Choice B reason:

Cleaning the stoma with alcohol is not necessary and can be irritating to the skin. Mild soap and water are typically recommended for stoma care.

Choice C reason:

While being cautious to avoid dislodging the tube is important, it is not the primary indicator of correct tube management. Proper flushing and care are essential components of tube

maintenance.

Choice D reason:

Flushing the tube with water before and after each medication administration is a crucial step in maintaining tube patency and preventing clogs. This indicates that the patient is managing the

tube correctly.

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Correct Answer is A

Explanation

Choice A reason:

The urea breath test is typically used to diagnose Helicobacter pylori (H. pylori) infection in the stomach. H. pylori can lead to gastritis and ulcers, which can interfere with nutrient absorption and contribute to imbalanced nutrition.

Choice B reason:

Impaired dentition related to gingivitis is not directly related to the need for a urea breath test. This diagnosis pertains to dental health, not gastric health.

Choice C reason:

Diarrhea related to Clostridium difficile infection is not directly related to the need for a urea

breath test. This diagnosis pertains to a bacterial infection in the colon, not H. pylori infection in the stomach.

Choice D reason:

Risk for impaired skin integrity related to peptic ulcers is also not directly related to the need for a urea breath test. This diagnosis pertains to potential skin breakdown due to ulcers, not the

assessment of H. pylori infection.

A. Abdominal bloating and flank pain B. Change in bowel habits C. Unexplained weight gain D. Development of new hemorrhoids

Correct Answer is B

Explanation

Choice A reason:

Abdominal bloating and flank pain may be associated with various gastrointestinal conditions, but they are not the most common signs of possible colon cancer.

Choice B reason:

This statement is correct. A change in bowel habits, such as persistent constipation, diarrhea, or a change in stool consistency, is the most common sign of possible colon cancer.

Choice C reason:

Unexplained weight gain is not typically associated with colon cancer; unexplained weight loss may be more indicative.

Choice D reason:

The development of new hemorrhoids is not a common sign of possible colon cancer.

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The management of the patient's gastrostomy is an assessment priority for the home care nurse. What statement would indicate that the patient is managing the tube correctly?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been scheduled for a urea breath test in one month's time. What nursing diagnosis most likely prompted this diagnostic test?

Correct Answer is A

Explanation

A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of the following as the most common sign of possible colon cancer?

Correct Answer is B

Explanation

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