The nurse is completing preoperative teaching on a client. Which of the following response should the nurse offer to a client who asks why he's having a total colectomy with ileostomy formation to treat his ulcerative colitis?

“The ileostomy is temporary and can be reversed after 3-4 months.”

"This procedure will slow down the number of diarrhea stools you pass per rectum"

"Stool produced by the ileostomy will be firm and require manual removal to drain

"This procedure is curative as it removes the part of the bowel affected by the disease."

Answer and Explanation

The Correct Answer is D

A. "The ileostomy is temporary and can be reversed after 3-4 months.": A total colectomy with ileostomy is typically permanent unless the client is undergoing a two-stage procedure to create a J-pouch.

B. "This procedure will slow down the number of diarrhea stools you pass per rectum.": A total colectomy removes the colon, so stool will no longer pass per rectum. Instead, stool is collected in an external ileostomy bag.

C. "Stool produced by the ileostomy will be firm and require manual removal to drain.": Stool from an ileostomy is liquid to semi-formed due to the lack of water absorption. It does not require manual removal.

D. "This procedure is curative as it removes the part of the bowel affected by the disease.": Ulcerative colitis only affects the colon and rectum. A total colectomy removes the diseased portion, effectively curing the condition.

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Correct Answer is A

Explanation

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

A. "Your colostomy will not produce formed steel.” B. "You will have a stoma in your left lower abdomen.” C. "You should expect your store to be a purple color." D. “The end of the stoma will be painful after this procedure.”

Correct Answer is B

Explanation

A. "Your colostomy will not produce formed stool.” A sigmoid colostomy produces formed stool because it is at the end of the large intestine, where water is absorbed.

B. "You will have a stoma in your left lower abdomen." A sigmoid colostomy is placed in the left lower quadrant (LLQ) of the abdomen.

C. "You should expect your stoma to be a purple color." A healthy stoma should be pink to red and moist. A purple, dusky, or dark-colored stoma may indicate ischemia and requires immediate evaluation.

D. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. However, the surrounding abdominal incision may be sore.

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The nurse is completing preoperative teaching on a client. Which of the following response should the nurse offer to a client who asks why he's having a total colectomy with ileostomy formation to treat his ulcerative colitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Correct Answer is A

Explanation

A nurse is teaching a dent who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

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