The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?

"I can still participate in physical activities and exercise with an ileostomy."

"I should empty the pouch when it is about two-thirds full."

"I should apply adhesive remover to the skin around the stoma when changing the pouch."

"I can eat all my favorite foods now that I have an ileostomy."

Answer and Explanation

The Correct Answer is D

A. This is an appropriate statement. Most patients with an ileostomy can resume physical activities and exercise, though they should be mindful of their stoma and pouch during activities.
B. This is a correct statement. The pouch should be emptied when it is about one-third to one-half full to prevent it from becoming too heavy or causing skin irritation.
C. This is also correct. Adhesive remover can be used to gently remove the pouch and adhesive, preventing irritation to the skin around the stoma.
D. This statement indicates a need for more teaching. While many foods can be eaten after an ileostomy, some foods may cause blockages or discomfort (e.g., nuts, seeds, and high-fiber vegetables). Patients need to be educated on dietary modifications and precautions post-ileostomy.

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Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

Rationale:

Hypoxia: The client's decreased oxygen saturation (SaO2) despite oxygen therapy and the presence of respiratory distress (tachypnea, shortness of breath) indicate hypoxia.

Pneumonia: The client's fever, increased respiratory rate, decreased oxygen saturation, and crackles in the lungs are indicative of pneumonia, particularly in the right lower lobe as evidenced by the chest X-ray.

A. Family history of esophageal cancer B. Consuming a diet high in glucose C. Irregular exercise D. Smoking tobacco

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

Explanation

A. A family history of esophageal cancer is a known risk factor. Genetic factors can increase the likelihood of developing esophageal cancer, especially if close family members have had the condition.
B. A diet high in glucose is not specifically associated with an increased risk of esophageal cancer. However, poor dietary habits in general, such as a high intake of processed foods or low fiber, can contribute to other health issues.
C. Irregular exercise is not a major risk factor for esophageal cancer. However, a lack of physical activity can contribute to overall health problems, including obesity, which is a known risk factor for some cancers.
D. Smoking tobacco is a significant risk factor for esophageal cancer. Smoking can damage the esophagus and increase the risk of developing both squamous cell carcinoma and adenocarcinoma of the esophagus.

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The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a tracheostomy. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client has manifestations of dropdownanddropdown

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

A client comes to the clinic complaining of dysphagia and states that "he feels like food is stuck in his throat." The physician suspects esophageal cancer. Which of the following is a risk factor for esophageal cancer?

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

Explanation

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