NCLEX Review Questions-NG, Ostomy Test your

NCLEX Review Questions-NG, Ostomy Test your knowledge – Quiz Already Passed The nurse is teaching the client how to care for an ileostomy. The client ask the nurse how long to wear the punch before changing it. The nurse should tell the client which of the following?

Question 1 options:

"The pouch is changed only when it leaks"

"You can wear the ouch for about 4 to 7 days."

"You should change the pouch every evening before bedtime."

"it depends on your activity level and your diet." ✔Ans✔ "You can wear the ouch for about 4 to

• days."

Immediately after having surgery to create an ileostomy, which goal has the highest priority?

Question 2 options:

Provide relief from constipation

Assisting the client with self-care activities

Maintaining fluid & electrolyte balance

Minimizing odor formation ✔Ans✔ Maintaining fluid & electrolyte balance

On the second day flowing an abdominal perineal resection, the nurse notes that the wound edges are not approximated & one-half the incision has torn apart. The nurse should take what action first?

Question 3 options:

Flush the wound with sterile water

Apply an abdominal binder

Cover the wound with sterile dressing moistened with normal saline

Apply strips of tape ✔Ans✔ Cover the wound with sterile dressing moistened with normal saline

The client who is scheduled for an ileostomy is to receive oral neomycin (Mycifradin) before surgery. The intended outcome of administrating oral neomycin before surgery is to :

Question 4 options:

Prevent postoperative bladder infection

Reduce the number of intestinal bacteria

Decrease the potential for post operative hypostatic pneumonia

Increase the body's immunologic response to the stressors of surgery ✔Ans✔ Reduce the number of intestinal bacteria

A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy for colon cancer. This tube will most likely be removed when the client

demonstrates:

Question 5 options:

Absence of cause & vomiting

Passage of mucus from the rectum

Passage of flatus & feces from the colostomy

Absence of stomach drainage for 24 hours ✔Ans✔ Passage of flatus & feces from the colostomy

The nurse assesses the client's stoma during the initial postoperative period. Which of the following observations would be reported immediately to the physician?

Question 6 options:

The stoma is slightly edematous

The stoma is dark red to purple

The stoma oozes a small amount of blood

The stoma does not expel stool ✔Ans✔ The stoma is dark red to purple

The nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. The nurse should assess the client for which of the following?

Question 7 options:

Projectile vomiting

Significant signs of dehydration

Increased bowel sounds