Question 1

A client who is scheduled for an ileostomy surgery and been taking corticosteroids is instructed to taper the drug eventually discontinuing it. The nurse would monitor this client for which of the following?
A) Cerebral anoxia
B) Cardiac dysrhythmias
C) Hypothyroidism
D) Adrenal insufficiency

Accepted Answer

Corticosteroids can suppress the function of the adrenal gland, leading to adrenal insufficiency. As the client tapers off the drug, the nurse should monitor for signs and symptoms of adrenal insufficiency, such as weakness, fatigue, weight loss, and hypotension. Cerebral anoxia, cardiac dysrhythmias, and hypothyroidism are not directly related to corticosteroid use or withdrawal in this situation.

Question 2

A client who is scheduled for an ileostomy surgery says to the nurse, "I'm afraid I won't be able to look at that stoma." Which response by the nurse would be most therapeutic?
A) "That's something you don't have to think about now."
B) "I'll make sure there is a familiar nurse here with you the first time."
C) "It's okay, everybody feels this anxious about this."
D) "Don't worry, I'm sure that you will be able to do this just fine."

Accepted Answer

Offering to have a familiar nurse present during the first time the client looks at their stoma can provide reassurance and support during a potentially anxiety-provoking moment. Option A dismisses the client's concerns and option D uses language that could be interpreted as dismissive or invalidating. Option C, while acknowledging the client's feelings, does not offer any concrete support or solutions.

Question 3

A nurse is preparing to administer the prescribed vitamin B12that this is necessary for which reason?
A) Prevent thrombosis
B) Prevent deficiencies
C) Aid proper digestion
D) Prevent constipationto a client who has had most of his ileum removed. The nurse understands

Accepted Answer

The ileum is responsible for absorption of vitamin B12 from food. Without it, the client is at high risk for developing a deficiency. Supplementing with vitamin B12 can prevent this deficiency.

Question 4

A client has undergone surgery to create a sigmoid colostomy. When inspecting the abdomen, the nurse would expect to find the stoma located in which of the following areas of the abdomen?
A) Middle right
B) Center below the belt line
C) Middle left
D) Lower left

Accepted Answer

A sigmoid colostomy is typically located in the lower left quadrant of the abdomen, as the sigmoid colon is situated in this area.

Question 5

A client has undergone ileostomy surgery. The nurse suggests the use of a temporary appliance in the immediate postoperative phase based on which rationale?
A) The size of the stoma changes in the postoperative phase.
B) The client will tolerate a temporary appliance better.
C) A permanent appliance will react with the antibiotics.
D) A temporary appliance minimizes the risk of infection.

Accepted Answer

The size and shape of the stoma can change in the immediate postoperative phase due to tissue swelling, and a temporary appliance can be adjusted accordingly. A permanent appliance may not fit properly, causing leakage and skin irritation. The other options are not valid reasons for suggesting a temporary appliance.

Question 6

A client has had surgery to create an ileoanal reservoir surgery. Which instruction would the nurse give to reduce the risk for bowel incontinence?
A) Avoid high-protein food.
B) Take frequent brisk walks.
C) Perform perineal exercises.
D) Perform warm water soaks.

Accepted Answer

Performing perineal exercises, also known as Kegel exercises, can help strengthen the muscles that control bowel movements and reduce the risk for bowel incontinence in clients who have undergone ileoanal reservoir surgery. Avoiding high-protein food, taking brisk walks, and using warm water soaks are not effective measures for reducing the risk for bowel incontinence in this population.

Question 7

A client is scheduled to undergo surgery for an ileostomy. The nurse instructs the client to stop taking which of the following for at least one 1 week before surgery?
A) Corticosteroids
B) Immunosuppressants
C) Aspirin-containing products
D) Antibiotics

Accepted Answer

Aspirin-containing products can increase bleeding risk and should be stopped at least one week before surgical procedures. Corticosteroids, immunosuppressants, and antibiotics are not contraindicated before ileostomy surgery.

Question 8

Which of the following instructions should the nurse include in the teaching plan of a client who has undergone colostomy?
A) Restrict traveling by air.
B) Limit outdoor activities.
C) Avoid tight clothing.
D) Chew food well.

Accepted Answer

The answer of Which of the following instructions should the...

Question 9

Which intervention would be most appropriate for a client who has undergone colostomy surgery?
A) Monitoring vital signs once a day.
B) Taking temperature by rectal route.
C) Monitoring the volume of gastric secretions.
D) Minimizing the client's fluid intake.

Accepted Answer

Monitoring the volume of gastric secretions is important to assess the client's digestive function and detect any complications post-surgery.

Question 10

The nurse is monitoring a client who has had colostomy surgery. Which of the following findings would the nurse need to report to the physician?
A) Urine output of 650 mL in past 24 hours
B) Temperature of 102.6oF (39.2Co)
C) Pain rating of 2 out of 10
D) Clean intact dressingAdd Question Here

Accepted Answer

A temperature of 102.6oF (39.2Co) is a sign of infection and requires immediate attention from the physician. The other findings are within normal range or expected for a post-colostomy surgery client.

Question 11

Which of the following dietary recommendations should the nurse give a client after ostomy surgery to prevent irritation and slow transit time?
A) A low-sodium diet
B) A high-protein diet
C) A high-fat diet
D) A low-fiber diet

Accepted Answer

A low-fiber diet is recommended after ostomy surgery to prevent irritation and slow transit time. High fiber foods can cause blockage or irritation to the stoma. Instead, the client should focus on low-fiber foods such as white bread, rice, and pasta. It is important to note that a low-fiber diet should only be followed for a short period of time and the client should gradually reintroduce high-fiber foods to their diet under the guidance of a healthcare provider.

Question 12

A client with an ileostomy is receiving medication in a slow-release capsule form. The nurse would be alert for which of the following?
A) Undissolved capsules
B) High blood pressure
C) Decreased urination
D) Presence of blood

Accepted Answer

A client with an ileostomy may have shortened transit time through the intestines, which can affect medication absorption. The nurse should assess for undissolved capsules in the ileostomy output, as this may indicate ineffective medication absorption. High blood pressure, decreased urination, and presence of blood are not directly related to slow-release capsule medication in a client with an ileostomy.

Question 13

The nurse is inspecting a client's stoma. Which finding would the nurse need to report to the physician?
A) Bright red color
B) Moist shiny surface
C) Absence of pain sensation
D) Retraction beneath the skin

Accepted Answer

Retraction of the stoma beneath the skin indicates that the stoma is not protruding properly from the abdomen, which can lead to potential complications such as poor drainage, skin irritation, and infection. Therefore, it is important for the nurse to report this finding to the physician. Bright red color, moist shiny surface, and absence of pain sensation are normal findings for a healthy stoma.

Question 14

The nurse is assisting a client with a colostomy to change his appliance. After the old appliance and faceplate are removed, which of the following would the nurse assist the client to do next?
A) Empty the pouch.
B) Clean the area with a soapy washcloth.
C) Protect the periostomal area from drainage.
D) Fill in the irregular surfaces in periostomal skin.

Accepted Answer

Protecting the periostomal area from drainage is the first step after removing the old appliance and faceplate.

Question 15

When caring for a client with ileostomy, the nurse notices that there is a bolus of poorly chewed food in the stool. Which interventions would be most appropriate?
A) Advise the client to chew the food properly.
B) Provide the client with plenty of fluids.
C) Instruct the client to sit upright while eating.
D) Alert the physician about the condition.

Accepted Answer

The answer of When caring for a client with ileostomy,...

Question 16

A client is to undergo a two stage surgery involving a temporary ileostomy and then reuniting of the two sections of ileum 2 to 3 months later. The nurse identifies this type of ostomy as which of the following?
A) Ileoanal reservoir
B) Kock Pouch
C) Single barrel colostomy
D) Loop colostomy

Accepted Answer

The answer of A client is to undergo a two...

Question 17

A client is to undergo surgery for the creation of a continent ileostomy. Which statement by the client indicates successful teaching?
A) "I'll need to empty the appliance more frequently."
B) "I'll need to learn how to empty the reservoir several times a day"
C) "My stool will be loose initially but then become formed in a week or so."
D) "I'll just push on the valve and the drainage will flow out easily."

Accepted Answer

A continent ileostomy, also known as a Kock pouch, has a small reservoir that must be emptied several times a day, typically through a small valve. The client must be taught how to correctly empty the reservoir and maintain the appliance, and option B is the only statement that reflects this understanding. Option A is not specific enough and does not indicate an understanding of the reservoir. Option C may be true but does not reflect understanding of the appliance. Option D is also unclear and does not reflect understanding of the valve and drainage process.

Question 18

A client with a colostomy is asking the nurse about what he should and shouldn't eat and drink. Which of the following responses would be appropriate?
A) "Be sure to drink at least 8 to 10 cups of fluid per day."
B) "Eat your large meal in the evening as usual."
C) "Vegetables, like asparagus, help decrease odor."
D) "Eat lots of dried fruits and corn to regulate stool pattern."

Accepted Answer

It is important for clients with colostomies to stay hydrated to prevent complications such as constipation and electrolyte imbalances. Drinking 8 to 10 cups of fluid per day is a general recommendation for most people and can be beneficial for clients with colostomies. B and D are incorrect as they do not provide accurate information and can potentially worsen the client's condition. C may be true for some clients but it is not a one-size-fits-all recommendation and should be discussed with a healthcare provider.

Question 19

Which of the following interventions would the nurse need to keep in mind when a loop colostomy of a client is to be opened?
A) Provide the client with plenty of fluids before the procedure.
B) Prepare the client for the pungent odor before the procedure.
C) Elevate the client's legs before and during the procedure.
D) Note the color and amount of fecal material during the procedure.

Accepted Answer

When a loop colostomy is opened, there can be a strong odor due to the release of intestinal contents. Preparing the client for this pungent odor is an important intervention.

Question 20

The nurse is assessing the stool consistency of a client with an ascending colostomy. Which of the following would the nurse expect to find?
A) Liquid
B) Semi-liquid
C) Soft
D) Formed

Accepted Answer

The answer of The nurse is assessing the stool consistency...

Quiz 48: Caring for Clients With Ostomies

A client who is scheduled for an ileostomy surgery and been taking corticosteroids is instructed to taper the drug eventually discontinuing it. The nurse would monitor this client for which of the following?

A client who is scheduled for an ileostomy surgery says to the nurse, "I'm afraid I won't be able to look at that stoma." Which response by the nurse would be most therapeutic?

A nurse is preparing to administer the prescribed vitamin B12that this is necessary for which reason?

A client has undergone surgery to create a sigmoid colostomy. When inspecting the abdomen, the nurse would expect to find the stoma located in which of the following areas of the abdomen?

A client has undergone ileostomy surgery. The nurse suggests the use of a temporary appliance in the immediate postoperative phase based on which rationale?

A client has had surgery to create an ileoanal reservoir surgery. Which instruction would the nurse give to reduce the risk for bowel incontinence?

A client is scheduled to undergo surgery for an ileostomy. The nurse instructs the client to stop taking which of the following for at least one 1 week before surgery?

Which of the following instructions should the nurse include in the teaching plan of a client who has undergone colostomy?

Which intervention would be most appropriate for a client who has undergone colostomy surgery?

The nurse is monitoring a client who has had colostomy surgery. Which of the following findings would the nurse need to report to the physician?

Which of the following dietary recommendations should the nurse give a client after ostomy surgery to prevent irritation and slow transit time?

A client with an ileostomy is receiving medication in a slow-release capsule form. The nurse would be alert for which of the following?

The nurse is inspecting a client's stoma. Which finding would the nurse need to report to the physician?

The nurse is assisting a client with a colostomy to change his appliance. After the old appliance and faceplate are removed, which of the following would the nurse assist the client to do next?

When caring for a client with ileostomy, the nurse notices that there is a bolus of poorly chewed food in the stool. Which interventions would be most appropriate?

A client is to undergo a two stage surgery involving a temporary ileostomy and then reuniting of the two sections of ileum 2 to 3 months later. The nurse identifies this type of ostomy as which of the following?

A client is to undergo surgery for the creation of a continent ileostomy. Which statement by the client indicates successful teaching?

A client with a colostomy is asking the nurse about what he should and shouldn't eat and drink. Which of the following responses would be appropriate?

Which of the following interventions would the nurse need to keep in mind when a loop colostomy of a client is to be opened?

The nurse is assessing the stool consistency of a client with an ascending colostomy. Which of the following would the nurse expect to find?