Nokea
A male patient reports that he will never adjust to his colostomy. Which is the best action for the nurse in this situation?
- A. Encourage him to express his concern.
- B. Suggest that he discuss his concerns with his physician.
- C. Counsel him that everything will be all right.
- D. Assure him that his concerns will diminish when he is able to care for his colostomy.
Correct Answer: A
Rationale: When a colostomy is performed, the patient or significant other should be able to verbalize concerns about the ostomy to the nurse.
You may also like to solve these questions
For which patient is misoprostol contraindicated?
- A. An older adult
- B. A pregnant female
- C. A patient taking daily aspirin
- D. A patient taking a proton pump inhibitor
Correct Answer: B
Rationale: Misoprostol is a prostaglandin analog that acts as a gastric mucosal protectant against NSAID-induced ulcers. A patient who is pregnant cannot take misoprostol, because it will cause miscarriage.
The nurse caring for a patient with Crohn disease will closely monitor the urinary output to ensure that the patient is excreting at least mL/day.
- A. 1500
Correct Answer: 1500
Rationale: The output of 1500 mL a day indicates good kidney perfusion. The disease allows such dramatic fluid loss that a constant watch on I&O is a major nursing intervention.
Which will be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?
- A. Applying of ice bag
- B. Administration of small tap water enema
- C. Warm compress over entire abdomen
- D. Ambulate for short periods in the room
Correct Answer: A
Rationale: Applying of an ice bag will decrease the flow of blood to the area and impede the inflammatory process.
Which will the nurse include when reinforcing the teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?
- A. Drinking 10 oz of milk with every meal
- B. Lie down after eating
- C. Panting through mouth when symptoms begin
- D. Eating small meals
Correct Answer: D
Rationale: Taking care not to overeat is the best defense against pyrosis (heartburn) for the person with a hiatal hernia.
Which are indicators of colorectal cancer?
- A. Constant diarrhea
- B. Abdominal pain
- C. Cachexia
- D. Cramps
- E. Rectal bleeding
- F. Anemia
Correct Answer: B,C,D,E,F
Rationale: The indicators for colorectal cancer are changing bowel habits between diarrhea and constipation, abdominal pain, cachexia, cramps, rectal bleeding, and anemia.