Ostomy Nclex Questions and Answers Rated A
1 / 5
1. A client suffering with ulcerative colitis has discussed the need for a
temporary colostomy to rest the colon and help the healing process. The
colostomy will be lo
...
Ostomy Nclex Questions and Answers Rated A
1 / 5
1. A client suffering with ulcerative colitis has discussed the need for a
temporary colostomy to rest the colon and help the healing process. The
colostomy will be located in the descending colon.The type of stool that the
client can expect from this stoma is:
1. Liquid that cannot be regulated
2. Malodorous and mushy drainage
3. Increasingly solid
4. Liquid fecal drainage: 3. Increasingly solid
Rationale: Stool in the descending colon is often formed, and the tissue can be
trained for periodic defecation. Liquid stool and malodorous stool that cannot be
controlled is found within the ascending colon. Malodorous, mushy stool is noted
in the transverse colon. Output is always expected at some point in time from
ostomies as evidence of their functioning.
2. After having a transverse colostomy constructed for colon cancer, discharge planning for home care would include teaching about the ostomy
appliance. Information appropriate for this intervention would include:
1. Instructing the client to report redness, swelling, fever, or pain at the site
to the physician for evaluation of infection
2. Nothing can be done about the concerns of odor with the appliance.
3. Ordering appliances through the client's health care provider
4.The appliance will not be needed when traveling.: 1. Instructing the client to
report redness, swelling, fever, or pain at the site to the physician for evaluation of
infection
Rationale: Signs and symptoms for monitoring infection at the ostomy site are a
priority evaluation for clients with new ostomies. The remaining actions are not
appropriate. There are supplies avaliable for clients to help control odor that may
be incurred because of the ostomy. Although a prescription for ostomy supplies
is needed, you can order the supplies from any medical supplier. Dependent on
the location and trainability of the ostomy, appliances are almost always worn
throughout the day and when traveling.
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