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Colostomy By Rnpedia.com

34 Questions  I  By Rnpedia
Surgery Quizzes & Trivia
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Question Excerpt

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1.  The first day after, surgery the nurse finds no measurable fecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention?
A.
B.
C.
D.
2.  A client is scheduled to undergo an abdominal perineal resection with a permanent colostomy. Which of the following measures would be an anticipated part of the client’s preoperative care?
A.
B.
C.
D.
3.  Tony returns form surgery with permanent colostomy. During the first 24 hours the colostomy does not drain. The nurse should be aware that:
A.
B.
C.
D.
4.  The nurse knew that the normal color of Michiel’s stoma should be
A.
B.
C.
D.
5.  The next day, the nurse will assess Michiel’s stoma. The nurse noticed that a prolapsed stoma is evident if she sees which of the following?
A.
B.
C.
D.
6.  When observing an ostomate do a return demonstration of the colostomy irrigation, the nurse notes that he needs more teaching if he:
A.
B.
C.
D.
7.  Arthur Cruz, a 45 year old artist, has recently had an abdominoperineal resection and colostomy. Mr. Cruz accuses the nurse of being uncomfortable during a dressing change, because his “wound looks terrible.” The nurse recognizes that the client is using the defense mechanism known as:
A.
B.
C.
D.
8.  Which of the following behavior of the client indicates the best initial step in learning to care for his colostomy?  
A.
B.
C.
D.
9.  Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if:
A.
B.
C.
D.
10.  The nurse will start to teach Michiel about the techniques for colostomy irrigation. Which of the following should be included in the nurse’s teaching plan?
A.
B.
C.
D.
11.  The nurse should insert the colostomy tube for irrigation at approximately  
A.
B.
C.
D.
12.  A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should nurse Katrina conclude?
A.
B.
C.
D.
13.  The nurse plans to teach Michiel about colostomy irrigation. As the nurse prepares the materials needed, which of the following item indicates that the nurse needs further instruction?
A.
B.
C.
D.
14.  Michiel asked the nurse, what foods will help lessen the odor of his colostomy. The nurse best response would be  
A.
B.
C.
D.
15.  When preparing to teach a client with colostomy how to irrigate his colostomy, the nurse should plan to perform the procedure:
A.
B.
C.
D.
16.  The nurse is caring for a client with a colostomy. The client tells the nurse that he makes small pin holes in the drainage bag to help relieve gas. The nurse should teach him that this action:
A.
B.
C.
D.
17.  The maximum height of irrigation solution for colostomy is  
A.
B.
C.
D.
18.  A 58-year-old male client tells the office nurse that his wife does not let him change his colostomy bag himself. Which response by the nurse indicates as understanding of the situation?
A.
B.
C.
D.
19.  Before discharge, the nurse scheduled the client who had a colostomy for colorectal cancer for discharge instruction about resuming activities. The nurse should plan to help the client understands that:
A.
B.
C.
D.
20.  Which of the following is TRUE in colostomy feeding?
A.
B.
C.
D.
21.  The nurse would know that dietary teaching had been effective for a client with colostomy when he states that he will eat:
A.
B.
C.
D.
22.  When doing colostomy irrigation at home, a client with colostomy should be instructed to report to his physician :
A.
B.
C.
D.
23.  The nurse is performing a colostomy irrigation on a male client. During the irrigation, the client begins to complain of abdominal cramps. What is the appropriate nursing action?
A.
B.
C.
D.
24.  The nurse is teaching a female client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?
A.
B.
C.
D.
25.  A client with colostomy refuses to allow his wife to see the incision or stoma and ignores most of his dietary instructions. The nurse on assessing this data, can assume that the client is experiencing:
A.
B.
C.
D.
26.  SITUATION: Michiel, A male patient diagnosed with colon cancer was newly put in colostomy. Michiel shows the BEST adaptation with the new colostomy if he shows which of the following?
A.
B.
C.
D.
27.  While irrigating the client’s colostomy, Michiel suddenly complains of severe cramping. Initially, the nurse would
A.
B.
C.
D.
28.  The client who had transverse colostomy asks the nurse about the possible effect of the surgery on future sexual relationship. What would be the best nursing response?
A.
B.
C.
D.
29.  A Client is scheduled to have a descending colostomy. He’s very anxious and has many questions regarding the surgical procedure, care of stoma, and lifestyle changes. It would be most appropriate for the nurse to make a referral to which member of the health care team?
A.
B.
C.
D.
30.  Nurse Michelle should know that the drainage is normal 4 days after a sigmoid colostomy when the stool is:
A.
B.
C.
D.
31.  The nurse is caring for a male client postoperatively following creation of a colostomy. Which nursing diagnosis should the nurse include in the plan of care?
A.
B.
C.
D.
32.  The nurse teaches the patient whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be
A.
B.
C.
D.
33.  A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:
A.
B.
C.
D.
34.  When irrigating a colostomy, the nurse lubricates the catheter and gently inserts it into the stoma no more than _______ inches
A.
B.
C.
D.
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