The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should report which assessment finding immediately?

Stoma is purple

Stoma is moist.

Stoma is flush with the skin

Stoma is protruding from the abdomen

Answer and Explanation

The Correct Answer is A

A. Stoma is purple. A purple, dusky, or black stoma indicates poor blood circulation, possibly due to ischemia or necrosis. This is a surgical emergency requiring immediate attention.

B. Stoma is moist. Normal finding, indicating adequate perfusion.

C. Stoma is flush with the skin. Possible but not necessarily abnormal. However, a retracted stoma (sunken below skin level) could lead to leakage and skin irritation.

D. Stoma is protruding from the abdomen. Normal in the early postoperative period. A slight protrusion (bud-like shape) is expected. However, significant prolapse (excessive protrusion) may need evaluation.

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 B

Explanation

A. Urine output of 80 mL/hr: Normal urine output is 30–50 mL/hr. A urine output of 80 mL/hr is within an acceptable range and does not indicate a problem.

B. Specific gravity of 1.036: Normal urine specific gravity ranges from 1.005 to 1.030. A level of 1.036 indicates dehydration or concentrated urine, which requires further assessment.

C. pH of 6.4: Normal urine pH ranges from 4.5 to 8.0, with an average around 6.0. A pH of 6.4 is within normal limits and does not require follow-up.

D. Protein level of 2 mg/100 mL: Normal urine protein is less than 8 mg/100 mL, so 2 mg/100 mL is within normal limits and does not indicate a concern.

A. (Select All that Apply.) B. Urgency C. Frequency D. Dysuria E. Prostate size F. Bladder infection

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

Explanation

A. Urgency: Antimuscarinic medications reduce bladder contractions, thereby decreasing the sudden urge to urinate.

B. Frequency: These medications help by increasing bladder capacity and reducing the need to urinate frequently.

C. Dysuria: Some antimuscarinics can alleviate bladder irritation, which may improve dysuria (painful urination) in certain conditions.

D. Prostate size: Antimuscarinics do not reduce prostate size. Medications like 5-alpha reductase inhibitors (e.g., finasteride) are used for this purpose.

E. Bladder infection: Antimuscarinics do not treat infections. Antibiotics are required to treat bladder infections (UTIs).

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 nurse is caring for a patient who had a colostomy placed yesterday. The nurse should report which assessment finding immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

Correct Answer is B

Explanation

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

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

Explanation

The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

A patient reports severe flank pain. The urinalysis reveals the presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?

A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?

A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

A nurse is completing an 8-hr 1&0 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?