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A 32-Year-Old Patient Experiences an Intestinal Perforation and Requires Emergency

Question 9

Multiple Choice

A 32-year-old patient experiences an intestinal perforation and requires emergency surgery. The surgeon first meets the patient just before anesthesia is to be given and explains that peritonitis and intestinal inflammation may make a colostomy necessary. The patient is still quite groggy when stepped down to a postoperative unit and does not yet know that he has a colostomy. Which initial response(s) should his nurse anticipate when the patient discovers that this procedure has been necessary?


A) Distress that he has been disfigured and will be repugnant to others
B) Thankfulness that the surgery was successful and that he will live
C) Concerns about how he will do all the things he is used to doing
D) Anger that this has happened to him and that it has ruined his life
E) Depression related to changes in body image and perceived losses
F) Curiosity about how colostomies work and how one cares for them

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