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Terms in this set (79)
1. The nurse is caring for patients with C. Ascending
ostomies. In which ostomy location
will the nurse expect very liquid stool
to be present?
A. Sigmoid
B. Transverse
C. Ascending
D. Descending
2. A nurse is assisting a patient in C. Grape and walnut chicken salad sandwich on
making dietary choices that promote whole wheat bread
healthy bowel elimination. Which
menu option should the nurse
recommend?
A. Broccoli and cheese soup with
potato bread
B. Turkey and mashed potatoes with
brown gravy
C. Grape and walnut chicken salad
sandwich on whole wheat bread
D. Dinner salad topped with hard-
boiled eggs, cheese, and fat-free
dressing
,3. A patient had an ileostomy C. Turkey meatloaf with white rice and apple juice
surgically placed 2 days ago. Which
diet will the nurse recommend to the
patient to ease the transition of the
new ostomy?
A. Eggs over easy, whole wheat toast,
and orange juice with pulp
B. Chicken fried rice with fresh
pineapple and iced tea
C. Turkey meatloaf with white rice and
apple juice
D. Fish sticks with sweet corn and
soda
4. The nurse is caring for a patient who Stoma is purple
had a colostomy placed yesterday.
The nurse should report which
assessment finding immediately?
Stoma is protruding from the
abdomen
Stoma is flush with the skin
Stoma is purple
Stoma is moist
5. Which patient will the nurse assess C. A patient with surgery for bowel disease and
most closely for an ileus? anesthesia
A. A patient with a fecal impaction
B. A patient with chronic cathartic
abuse
C. A patient with surgery for bowel
disease and anesthesia
D. A patient with suppression of
hydrochloric acid from medication
6. The nurse is caring for a patient with Mushy/ Semi soft and liquid
a transverse colostomy the stool
should appear?
, 7. A nurse is caring for a patient with a A. Teach the patient how to self-cath the pouch.
continent urinary reservoir. Which
action will the nurse take?
A. Teach the patient how to self-cath
the pouch.
B. Teach the patient how to perform
Kegel exercises.
C. Teach the patient how to change
the collection pouch.
D. Teach the patient how to void using
the Valsalva technique.
8. The nurse is obtaining a 24-hour A. Keeping the urine collection container on ice
urine specimen collection from the when indicated
patient. Which actions should the E. Asking the patient to void and discarding that urine
nurse take? (Select all that apply.) to start the collection
A. Keeping the urine collection
container on ice when indicated
B. Withholding all patient medications
for the day
C.Irrigating the sample as needed
with sterile solution
D. Testing the urine sample with a
reagent strip by dipping it in the urine
E. Asking the patient to void and
discarding that urine to start the
collection
9. The patient is taking B. Orange color
phenazopyridine. When assessing the
urine, what will the nurse expect? Some drugs change the color of urine (e.g.,
A. Red color phenazopyridine—orange, riboflavin—intense yellow).
B. Orange color Eating beets, rhubarb, and blackberries causes red
C. Dark amber color urine. Dark amber urine is the result of high
D. Intense yellow color concentrations of bilirubin in patients with liver
disease.