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

Continuous output from the stoma

Presence of blood in the stool

Malodorous Stool

Liquid consistency with hard stool particles

Answer and Explanation

The Correct Answer is B

A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.

B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.

C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.

D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Urine output of 175 mL in the past 8 hours. Urine output <30 mL/hr (less than 240 mL in 8 hours) indicates oliguria, a sign of worsening renal function or acute kidney injury (AKI).

B. Urine is cloudy after sitting in the urinal for 6 hours. Urine naturally becomes cloudy when it sits due to precipitation of solutes.

C. First-voided urine in the morning has a strong odor. Morning urine is more concentrated, causing a strong odor.

D. Urine output of 2,200 mL in the past 24 hours. Not necessarily concerning unless the client has polyuria (>3L/day), which can indicate diabetes or diuretic effects, but 2,200 mL is still within the normal range.

A. Rye B. Rice C. Barley D. Wheat

Correct Answer is B

Explanation

A. Rye. Rye contains gluten, which must be avoided in celiac disease.

B. Rice. Rice is gluten-free and safe for individuals with celiac disease.

C. Barley. Barley contains gluten and should be avoided.

D. Wheat. Wheat contains gluten and is a primary trigger for celiac symptoms.

View Question and Answer

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

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Correct Answer is A

Explanation

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many ml. should the nurse administer? (Round the answer to the nearest tenth.)

A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?

A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following foods should the nurse allow the client to have?

An 85-year-old client is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the client's plan of care?

A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected finding for this client?

The nurse is doing a nutrition assessment on a patient that weighs 185 pounds and is 5' 8" tall. Calculate the patients BMI. (Round to the nearest whole number)