Which skill does the nurse teach a patient with a new colostomy before discharge from the health care facility? (Select all that Apply)

How to open and close the pouch

How to determine whether the ostomy is healing appropriately

How to irrigate the colostomy

How to change the pouch

How to empty the pouch

Answer and Explanation

Correct Answer : A,B,D,E

A. How to open and close the pouch: The patient must be able to manage their pouch independently. This skill helps them maintain hygiene and prevent leakage.

B. How to determine whether the ostomy is healing appropriately: Patients should be educated on signs of infection, irritation, or necrosis around the stoma.

C. How to irrigate the colostomy: Not taught initially because irrigation is only necessary for some patients and is usually introduced later. It’s mainly for descending or sigmoid colostomies, not all types.

D. How to change the pouch: A crucial skill to prevent leakage and skin irritation.

E. How to empty the pouch: Patients should know when and how to empty it to maintain cleanliness and avoid leaks.

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Correct Answer is C

Explanation

A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.

B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.

C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.

D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.

A. Stop the enema and document that the client did not tolerate the procedure. B. Lower the height of the solution container. C. Encourage the client to bear down. D. Allow the client to expel some fluid before continuing

Correct Answer is B

Explanation

A. Stop the enema and document that the client did not tolerate the procedure: Not necessary. Slowing the flow often relieves cramps. Stopping the procedure entirely may lead to incomplete evacuation.

B. Lower the height of the solution container: Slows the flow rate, reducing cramping. High flow rates cause rapid intestinal distention, leading to discomfort.

C. Encourage the client to bear down: Bearing down increases intra-abdominal pressure, worsening cramps.

D. Allow the client to expel some fluid before continuing: Could disrupt the enema’s effectiveness.

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Which skill does the nurse teach a patient with a new colostomy before discharge from the health care facility? (Select all that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

Correct Answer is C

Explanation

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

Correct Answer is B

Explanation

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