1. The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the BEST understanding of the nature of the surgery if the client makes which of the following statements? a."I will need to drain the pouch regularly with a catheter." b."I will be able to pass stool from my rectum eventually." c."The drainage from this type of ostomy will be formed." d."I will need to wear a drainage bag for the rest of my life." 2. After ileostomy surgery, the nurse assesses the abdomen of the patient and notices that the stoma is purplish red. The nurse should: a.Report this finding to the surgeon immediately b.Apply warm soaks to the stoma to improve circulation c.Reassure the patient that this is the normal color. d.Watch the stoma for any further changes in color 3. Which client would be MOST likely to have the diagnosis of diverticulosis? a.A 40-year-old male with a family history of diverticulosis. b.A 65-year-old female with hemorrhoids. c.A 70-year-old female with multiple childbirths d.A 60-year-old male with a sedentary lifestyle
1. The nurse is doing pre-op teaching with the client who is about to undergo creation of
a Kock pouch. The nurse interprets that the client has the BEST understanding of the
nature of the surgery if the client makes which of the following statements?
a."I will need to drain the pouch regularly with a catheter."
b."I will be able to pass stool from my rectum eventually."
c."The drainage from this type of ostomy will be formed."
d."I will need to wear a drainage bag for the rest of my life."
2. After ileostomy surgery, the nurse assesses the abdomen of the patient and notices
that the stoma is purplish red. The nurse should:
a.Report this finding to the surgeon immediately
b.Apply warm soaks to the stoma to improve circulation
c.Reassure the patient that this is the normal color.
d.Watch the stoma for any further changes in color
3. Which client would be MOST likely to have the diagnosis of diverticulosis?
a.A 40-year-old male with a family history of diverticulosis.
b.A 65-year-old female with hemorrhoids.
c.A 70-year-old female with multiple childbirths
d.A 60-year-old male with a sedentary lifestyle
4. Which of the following measures should the client with diverticulitis be taught to
integrate into his daily routine at home?
a.Using enemas to relieve constipation.
b.Decreasing fluid intake to increase the formed consistency of the stool.
c.Eating a high fiber diet when symptomatic with diverticulitis.
d.Refraining from straining and lifting activities
5. A patient with diverticulitis can be surgically managed with which of the following
surgical procedures?
a.Whipple’s procedure
b.Hartman’s procedure
c.Abdominal perineal resection
d.Vertical Sleeve gastrectomy
6.A client is learning about caring for her ileostomy. Which of the following statements
would indicate that she understands how to care for her ileostomy pouch?
a.“I can take my pouch off at night.”
b.I’ll empty my pouch when it’s about one – third full.”
c.“I must apply a new pouch system every day.”
d.“I should change my pouch immediately after lunch.”
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