HESI FUNDAMENTALS PRACTICE EXAM QUESTION S AND CORRECT ASNSWERS.pdf

HESI FUNDAMENTALS PRACTICE EXAM




HESI FUNDAMENTALS PRACTICE EXAM




HESI FUNDAMENTALS PRACTICE EXAM

,HESI FUNDAMENTALS PRACTICE EXAM

,Three days following a surgery, a male client observes his
colostomy for the first time. He becomes quite upset and
tells the nurse that it is much bigger than he expected.
What is the best response by the nurse?
A. Reassure the client that he will become accustomed to
the stoma appearance in time.
B. Instruct the client that the stoma will become much
smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support
group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to
gain confidence with the procedure.

, B. Instruct the client that the stoma will become smaller
when the initial swelling diminishes (Postoperative swelling
causes enlargement of the stoma. The nurse can teach the
client that the stoma will become smaller when swelling is
diminished (B). This will help reduce the client's anxiety and
promote acceptance of the colostomy. (A) does not
provide helpful teaching or support. (C) is a useful action,
and may be taken after the nurse provides pertinent
teaching. The client is not yet demonstrating readiness to
learn colostomy care. (D)