You're preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he's anxious. What should your initial step be in working with this patient?
- A. Determine what the patient already knows about colostomies.
- B. Show the patient some pictures of colostomies.
- C. Arrange for someone who has a colostomy to visit the patient.
- D. Provide the patient with written material about colostomy care.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
- A. 1/16"
- B. 1/4″
- C. 1/2"
- D. 1"
Correct Answer: A
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.
Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?
- A. Calcium
- B. Glucose
- C. Magnesium
- D. Potassium
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,"If I lie still and avoid turning after the operation, I'll avoid pain. Do you think this is a good idea?" What is the best response?
- A. You'll need to turn from side to side every 2 hours.
- B. It's always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don't you decide about activity after you return from the recovery room?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy?
- A. 100 ml
- B. 500 ml
- C. 1500 ml
- D. 5000 ml
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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