module nine quiz
A client requires a change and reapplication of a colostomy bag. The nurse has never changed an ostomy bag before. What is the nurse's best course of action? A. Ask the client how the bag is changed. B. Read the policy and procedure manual. C. Ask a skilled nurse to assist with the procedure. D. Determine the necessity of the bag change.
B
A nurse is reviewing a client's laboratory values. Which laboratory value would be indicative of a client's level of malnutrition? A. hemoglobin B. serum albumin C. creatinine D. oxygen saturation
B
The type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be which of the following? A. bloody B. mucus-filled C. soft semi-formed D. liquid consistency
D
A nurse is caring for a client with a colostomy. What type of stools would the nurse expect to find in the colostomy bag? A. liquid B. watery C. formed D. none
c
A client with a diagnosis of colon cancer has required the creation of an ostomy following bowel surgery. Which factor is most likely to influence the client's adjustment to this change? A. The coping mechanisms that the client possesses B. The prognosis of the client's cancer after the surgery C. The specific location of the ostomy D. The client's knowledge of a peer who also has an ostomy
A
A client with dysphagia prepares to eat dinner. How does the nurse best help this client? A. Ensure the head of the bed is high-Fowler. B. Prepare the foods on the client's tray. C. Converse with the client during the meal. D. Play the client's favorite music or video.
A
An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. What is the most important nursing action in the care of this client? A. Assess the color of the stoma. B. Apply device for stool collection. C. Perform stoma irrigation. D. Have the client perform self stoma care.
A
For which client does the nurse anticipate the need for a pureed diet? A. Client whose stroke has resulted in difficulty swallowing B. Client who required gallbladder surgery C. Client with dementia who is unable to follow instructions D. Postoperative client after bariatric surgery
A
The charge nurse is observing a new nurse care for a client who is receiving a continuous feeding through a nasogastric feeding tube. Which action by the new nurse would require intervention by the charge nurse? A. The new nurse places the client in the left lateral recumbent position. B. The new nurse changes gloves before preparing the feeding bag. C. The new nurse interrupts the feeding every 4 hours and aspirates gastric contents. D. The new nurse asks the client whether nausea or abdominal pain is present.
A
The nurse has prepared to educate a client about caring for a new colostomy. When the nurse begins the instruction, the client states, "I am not ready to deal with this now. I am feeling overwhelmed." What is the nurse's most appropriate action? A. Continue the education and remind the client that it is essential to learn self-care. B. Medicate the client for anxiety and continue the education later. C. Discontinue the education and attempt at another time. D. Discontinue the education and ask the client for permission to teach a family member.
B
