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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Abdominal distention. Distention is more indicative of a paralytic ileus or gas buildup, not return of peristalsis.
B. Request for a cup of tea and some toast. While appetite may return as peristalsis resumes, it is not a definitive sign.
C. Hypoactive bowel sounds in two quadrants. Hypoactive sounds suggest minimal bowel activity, not full peristalsis.
D. Passage of flatus. Passing gas is a key sign that peristalsis is returning postoperatively.
Correct Answer is D
Explanation
A. Sodium: Measures fluid balance, not protein status.
B. Potassium: Related to muscle function, heart rhythm, and renal function, not protein synthesis.
C. Calcium: Bone and nerve function, not a protein marker.
D. Albumin: Best indicator of protein status because it reflects protein intake and synthesis. Low levels can indicate malnutrition, liver disease, or chronic illness.
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