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 A

No explanation

A. A 40yearold patient with an ileostomy B. A 70yearold patient with incontinence C. A 30yearold patient with C. difficile D. A 25yearold patient with Crohn's disease

Correct Answer is B

Explanation

Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.

Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.

Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.

Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.

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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

An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

Correct Answer is A

The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

Correct Answer is B

Explanation

A nurse is preparing a cleansing enema for an adult patient who is constipated and has not responded to laxative use. Before giving the enema, the nurse should

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?

There is an order to administer a large volume, cleansing enema to an adult patient. The enema bag is filled with how many milliliters of fluid for this procedure?

A nurse is preparing her patient to receive a Fleet enema. What position is best for the procedure?

A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?

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

A patient with Crohn's disease underwent a procedure to remove a portion of the large intestine. The distal portion of the colon was removed, allowing it time to rest and heal. A nurse identifies that this type of bowel diversion is known

The nurse would expect the least formed stool to be present in which portion of the digestive tract?