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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The intestine is twisted around itself causing severe pain: This describes volvulus, a different condition that causes intestinal obstruction and ischemia.
B. The child's intestine has a large blockage of scar tissue: This describes intestinal strictures, which can occur due to Crohn’s disease or previous surgery, not Hirschsprung’s disease.
C. The child's intestine has slipped inside of itself: This describes intussusception, where one part of the intestine telescopes into another, causing obstruction.
D. The intestine is missing crucial nerves to aid in peristalsis: Hirschsprung’s disease is a congenital disorder where the ganglion cells (nerve cells responsible for peristalsis) are absent in parts of the intestine, leading to obstruction and difficulty passing stool.
Correct Answer is A
Explanation
A. "I ate shellfish about 2 weeks ago at a local restaurant." Hepatitis A is transmitted via the fecal-oral route, often through contaminated food or water, including raw or undercooked shellfish. The incubation period is 2–6 weeks, making this history relevant.
B. "I have had unprotected sex with multiple partners." While sexual transmission is possible, hepatitis B and C are more commonly spread this way. Hepatitis A is not primarily a sexually transmitted infection.
C. "I had a blood transfusion in the 80s after a major car accident." Hepatitis C, not hepatitis A, is transmitted through blood products. Before 1992, blood transfusions carried a higher risk of hepatitis C infection.
D. "I am a recovered addict of 10 years." Injection drug use is a major risk factor for hepatitis B and C, but not hepatitis A, which is spread through ingestion of contaminated food or water.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.