The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

Liquid consistency of stool

Unpleasant odor from the stool

Presence of blood in the stool

Continuous output from the stoma

Answer and Explanation

The Correct Answer is C

Choice A For an ileostomy, liquid consistency of stool is expected as the output, and it is not an immediate concern.

Choice B Foul odor from the stool is common with ileostomy output, and while it can be unpleasant, it is not an immediate concern.

Choice C This finding should be reported immediately, as it could indicate bleeding from the stoma or intestinal mucosa, which requires prompt evaluation and intervention.

Choice D Continuous output from an ileostomy is normal and expected, so it is not a cause for immediate concern.

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Correct Answer is C

Explanation

Choice A The shape of the abdomen is a physical assessment finding and not subjective

information provided by the patient. It involves the nurse's observation of the patient's abdomen during the examination.

Choice B Bowel sounds are also physical assessment findings that involve the nurse listening to the patient's abdomen using a stethoscope.

Choice C This is the correct answer. Abdominal cramping and discomfort are subjective symptoms reported by the patient and are relevant to the patient's bowel elimination status. Choice D Like the shape of the abdomen, the distention of the abdomen is a physical assessment finding and not subjective information provided by the patient.

A. 3 to 5 days. B. 1 to 3 days. C. 2 to 3 days. D. 4 to 7 days.

Correct Answer is D

Explanation

Choice A Changing the faceplate every 3 to 5 days might be necessary for some individuals with specific needs, but it is not the typical frequency for most colostomy patients.

Choice B Changing the faceplate every 1 to 3 days is too frequent for most colostomy patients and might lead to unnecessary waste and discomfort.

Choice C Changing the faceplate every 2 to 3 days is still relatively frequent and might not be necessary for most colostomy patients.

Choice D Changing the faceplate every 4 to 7 days is the usual recommendation for colostomy patients, as it allows for sufficient wear time while minimizing the frequency of changes.

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The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's admission assessment includes pertinent information about bowel elimination. Which subjective information collected by the nurse will be documented?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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