The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Cause of the patient's anxiety and fear.

Patient's bowel sounds and presence of gas.

Family's questions about the procedure.

Patient's lung sounds and respiratory rate.

Answer and Explanation

The Correct Answer is A

Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide

emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.

Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.

Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.

Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.

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Correct Answer is C

Explanation

Choice A Depending on laxatives or stool softeners every day may lead to dependence and can be harmful in the long term. It is not a preferred approach for managing constipation.

Choice B While eating smaller, more frequent meals can aid digestion, it is not the primary strategy for preventing constipation.

Choice C : Increasing dietary fiber intake is an effective way to promote regular bowel

movements and prevent constipation. Gradually increasing fiber intake helps the body adjust to the increased fiber load.

Choice D Adequate fluid intake is important for bowel health, but focusing solely on fluid intake may not be as effective as increasing dietary fiber to prevent constipation.

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 C

Explanation

Choice A A pale blue stoma may indicate a lack of blood supply (ischemia) to the stoma, which is concerning but not as immediately critical as fecal contamination.

Choice B A continuous draining stoma is normal, and there is no indication of an urgent issue in this scenario.

Choice C This patient should be seen first and made a priority as fecal contamination of the stoma can lead to skin irritation, infection, and complications. Immediate cleaning and appropriate care are necessary.

Choice D A beefy red, moist stoma is a healthy stoma appearance and does not indicate an urgent issue.

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The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

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 C

Explanation

During an admission physical assessment, a nurse questions a patient about their bowel elimination pattern. The nurse may say, "Can you tell me your bowel regimen? Do you have a regular, bowel movement every day? What is the approximate time that you have a bowel movement?" The nurse's goal is

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

A patient expresses concerns over having bright red stool. Which response by the nurse is most appropriate?

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

The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?

Your patient complains of excessive flatus. When reviewing the patient's dietary intake, which food, if eaten regularly, would you identify as possibly responsible?

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?

A nurse notices that the patient's stool is light, claycolored. The nurse suspects the patient