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: Metronidazole is not typically used to treat genital warts caused by HPV.

Choice B rationale: HPV can be transmitted through various forms of sexual contact, including oral sex.

Choice C rationale: Condoms reduce but do not eliminate the risk of HPV transmission. Choice D rationale: Genital warts caused by HPV increase the risk of cervical cancer,

necessitating regular Pap smears for monitoring and early detection.

A. the patient must receive insulin therapy to prevent ketoacidosis B. the patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin C. the patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome D. the patient has minimal or absent endogenous insulin secretion and requires daily insulin injections

Correct Answer is C

Explanation

Choice A rationale: The patient with type 2 diabetes admitted with pneumonia might not necessarily need insulin therapy to prevent ketoacidosis.

Choice B rationale: Type 2 diabetes doesn't typically involve islet cell antibodies destroying the pancreas's ability to produce insulin.

Choice C rationale: In this scenario, the patient might have enough endogenous insulin to prevent ketosis but could be at risk for hyperosmolar hyperglycemic syndrome due to illness-induced stress.

Choice D rationale: Type 2 diabetes often involves some degree of endogenous insulin secretion, and not all patients require daily insulin injections.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

Correct Answer is D

Explanation

Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

Correct Answer is C

Explanation

The nurse observes a novice nurse caring for a client experiencing status epilepticus. It will require immediate intervention if the novice nurse does which of the following?

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Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?

The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient should the nurse see first?