The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?

The skin under the appliance looks red briefly after removing the appliance.

The stoma color is a deep red-purple.

An ascending colostomy delivers liquid feces.

The stoma extends 1/2 inch above the abdomen.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Redness briefly after removing the appliance might be common due to increased blood flow but does not necessarily indicate an issue.

Choice B rationale: A deep red-purple stoma color can suggest impaired blood supply to the stoma and requires immediate attention.

Choice C rationale: The consistency of output from the colostomy may vary based on the site and type of colostomy and might not necessarily be concerning.

Choice D rationale: The length of the stoma can vary and usually depends on the type of colostomy, and 1/2 inch above the abdomen is within an acceptable range.

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Correct Answer is D

Explanation

Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.

Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.

Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.

Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.

A. Increase in serum lipid levels. B. Decrease in blood pressure to normal. C. Gain in body weight. D. Disappearance of protein from the urine.

Correct Answer is D

Explanation

Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.

Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.

Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.

Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.

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The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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