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 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. cool the solution to 65 degrees F B. boil the solution and let it cool down. C. warm the solution to body temperature D. warm the solution in the microwave.

Correct Answer is C

Explanation

Choice A Using a cool solution might cause discomfort and could lead to cramping, which is not ideal for an enema administration.

Choice B Boiling the solution is unnecessary and might be unsafe, as it could cause burns or damage the components of the enema.

Choice C Warming the solution to body temperature (around 98.6°F or 37°C) is the appropriate approach, as it ensures patient comfort and reduces the risk of cramping or discomfort.

Choice D Microwaving the solution might lead to uneven heating and could potentially create hot spots, which could cause burns or discomfort for the patient.

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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 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

A nurse is preparing a cleansing enema for an adult patient who is constipated and has not responded to laxative use. Before giving the enema, the nurse should

Correct Answer is C

Explanation

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A nurse is speaking to a patient about his recent bowel movement. He says, "Sometimes my bowel movements are greenish in color. Is that normal?" The nurse replies:

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

A nurse is preparing her patient to receive a Fleet enema. What position is best for the procedure?

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

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A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?