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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
ChoiceA: This volume might be insufficient for a large volume, cleansing enema, as it may not effectively cleanse the colon.
Choice: This range is the appropriate volume for a large volume, cleansing enema, as it provides enough fluid to cleanse the colon effectively without causing excessive distension.
Choice C: This volume is too low for a large volume, cleansing enema, and it may not be enough to achieve the desired effect.
Choice D: This volume is too low for a large volume, cleansing enema, and it may not effectively cleanse the colon.
Correct Answer is D
Explanation
Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.
Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.
Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.
Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.
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