Exam (elaborations) HNSC HNSC 6.1

1. The nurse explains that an artificial opening into a body cavity is a(n): 1. gastrostomy. 2. ostomy. 3. colonoscopy. 4. ureterostomy. 2. The colostomy patient is instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch because: 1. the stoma will shrink during this time. 2. a poor-fitting pouch will cause infection of the stoma. 3. the paste will not adhere. 4. prolapse will result. 3. A 47-year-old patient who is 3 days postsurgery with a permanent colostomy reports some abdominal discomfort and abdominal rigidity. The assessment that the nurse should report and record is: 1. vital signs—temperature, 100; pulse, 92; blood pressure, 160/98. 2. stoma is swollen and red; small amount of blood at base. 3. pouch drainage of 110 mL green-brown liquid, oozing from pouch edges. 4. stoma is protruding. 4. The nurse is aware that many ostomates have an altered self-image, which may cause: 1. self-care deficits. 2. sexual dysfunction. 3. nonadherence to diet. 4. irrational anger. ..................................CONTINUED.................................