The nurse knows that the best way to clean around a colostomy stoma is to use the following

Clean with alcohol swab and let air dry

Clean with tap water

Clean with iodine only

Clean with mild soap and water

Answer and Explanation

The Correct Answer is D

Choice A Alcohol swabs may be too harsh and irritating for the delicate skin around the stoma. Mild soap and water are preferred for cleaning.

Choice B Tap water alone may not be sufficient for removing debris and ensuring proper cleanliness around the stoma. Mild soap and water are preferred for cleaning.

Choice C Iodine may be too harsh and irritating for the peristomal skin. Mild soap and water are preferred for cleaning.

Choice D Mild soap and water are the best choice for cleaning around the colostomy stoma as they effectively remove debris and cleanse the area without being overly harsh on the skin.

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Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale: Waiting until the ostomy drainage bag is full increases the risk of leakage and can put undue pressure on the stoma, leading to potential skin irritation or damage. Regular emptying is crucial for maintaining stoma health and preventing complications.

Choice B rationale: Emptying the ostomy drainage bag when it is 1/2 full is recommended to prevent leaks and reduce pressure on the stoma. This practice helps maintain skin integrity around the stoma and ensures the drainage bag functions effectively.

Choice C rationale: Emptying the ostomy drainage bag when it is only 1/4 full may be too frequent and unnecessary, leading to increased use of supplies and potential irritation from frequent manipulation. It is more practical to aim for 1/2 full for routine care.

Choice D rationale: Waiting until the ostomy drainage bag is 3/4 full increases the risk of leakage and pressure on the stoma, similar to waiting until it is full. It is essential to empty the bag more regularly to maintain optimal stoma health and prevent issues

A. Cause of the patient's anxiety and fear. B. Patient's bowel sounds and presence of gas. C. Family's questions about the procedure. D. Patient's lung sounds and respiratory rate.

Correct Answer is A

Explanation

Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide

emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.

Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.

Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.

Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.

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The nurse knows that the best way to clean around a colostomy stoma is to use the following

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with a colostomy. The ostomy drainage bag should be emptied whenever it is

Correct Answer is B

Explanation

The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Correct Answer is A

Explanation

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