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A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir (J pouch) . What information should the nurse include in this client's teaching plan?


A) The client will need an easily removable appliance.
B) The client will need to plan for a daily irrigation.
C) The stool will be expelled through the rectum eventually.
D) The transverse loop ostomy will be temporary.

Correct Answer

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For a client who has returned to the nursing unit after creation of a continent ileostomy (Kock pouch) , the action the nurse would include in the plan of care is


A) attach the catheter to straight drainage initially for several days.
B) irrigate the pouch daily with sterile solutions only.
C) provide a permanent appliance and assist the client in application.
D) restrict oral intake until ileal drainage is profuse.

Correct Answer

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A client with an ostomy is irrigating it with about 500 ml of warm tap water and is holding the irrigating container about 36 inches above the stoma. Which nursing diagnosis best fits this situation?


A) Constipation
B) Effective management of therapeutic regimen
C) Enhanced individual coping
D) Knowledge deficit

Correct Answer

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When a client is admitted to the emergency department with a hernia, the classification of hernia that would represent a surgical emergency is


A) incisional.
B) inguinal.
C) reducible.
D) strangulated.

Correct Answer

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In caring for a client with peritonitis from inflamed diverticuli, the nurse should assign priority to assessing


A) bowel sounds.
B) intake and output.
C) neurologic status.
D) vital signs.

Correct Answer

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