Nokea
You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
- A. To the exact size of the stoma.
- B. About 1/16" larger than the stoma.
- C. About 1/8" larger than the stoma.
- D. About 1/4″ larger than the stoma.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You're caring for Lewis, a 67 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Relief of which symptom indicated that the paracentesis was effective?
- A. Pruritus
- B. Dyspnea
- C. Jaundice
- D. Peripheral Neuropathy
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Annebell is being discharged with a colostomy, and you're teaching her about colostomy care. Which statement correctly describes a healthy stoma?
- A. At first, the stoma may bleed slightly when touched.
- B. The stoma should appear dark and have a bluish hue.
- C. A burning sensation under the stoma faceplate is normal.
- D. The stoma should remain swollen away from the abdomen.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An intubated patient is receiving continuous enteral feedings through a Salem sump tube at a rate of 60ml/hr. Gastric residuals have been 30-40ml when monitored Q4H. You check the gastric residual and aspirate 220ml. What is your first response to this finding?
- A. Notify the doctor immediately.
- B. Stop the feeding, and clamp the NG tube.
- C. Discard the 220ml, and clamp the NG tube.
- D. Give a prescribed GI stimulant such as metoclopramide (Reglan).
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?
- A. Serum creatinine and BUN
- B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
- C. Serum amylase and lipase
- D. Cardiac enzymes
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Sitty, a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?
- A. Blanched stoma
- B. Edematous stoma
- C. Reddish-pink stoma
- D. Brownish-black stoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.