Practice Question
The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?
Answer Choices:
Correct Answer:
Presence of blood in the stool
Rationale:
The presence of blood in the stool of a patient with an ileostomy is concerning and should be reported immediately, as it may indicate complications such as gastrointestinal bleeding, infection, or injury to the stoma or surrounding tissue. The other options (continuous output, malodorous stool, and liquid consistency) can be expected and do not require immediate intervention unless there is a change in the patient's condition.
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This question is from Nurs 100 Fundamental Final Exam which contains 82 questions.
More Questions from This Exam
A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?
Answer Choices:
A. Nurse
B. Health care provider
C. Hospital
D. Pharmacist
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma.Which of the following findings should the nurse identify as a safety risk?
Answer Choices:
A. Uses a microwave for cooking.
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Answer Choices:
A. Petechiae
B. Blood pressure
C. Nausea
D. Cyanosis
A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?
Answer Choices:
A. Blood pressure sitting 130/60; blood pressure 110/60 standing
B. Blood pressure sitting 126/64; blood pressure 120/58 standing
C. Blood pressure sitting 130/64: blood pressure 140/70 standing
D. Blood pressure sitting 140/60; blood pressure 130/60 standing
A nurse is admitting a client who is dehydrated. Which BUN level should the nurse expect the client to have upon admission(Normal BUN 10-20)?
Answer Choices:
A. 165 mg/dL
B. 35 mg/dL
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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