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Practice Question

Following an ileal conduit urinary diversion. a client voices several concerns. Which finding indicates to me ruse that the experiencing a complication?

Answer Choices:

Correct Answer:

A dark purplish colored stoma.

Rationale:

🔷 Healthy stoma is pink/red A bright red, moist stoma shows adequate blood supply and is normal after surgery.

🔷 Purple stoma signals ischemia dark purplish stoma indicates compromised blood flow and potential necrosis.

🔷 Urgent complication Ischemia can lead to tissue death, making this a priority finding to report immediately.

🔷 Requires immediate intervention The provider must assess for vascular compromise to prevent permanent damage.

🔷 Surgical issue risk Tension on the stoma or poor vascular perfusion is often the cause and may need urgent correction.

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This question is from RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128) which contains 49 questions.

More Questions from This Exam
A male client, newly diagnosed with idiopathic epilepsy, is preparing for discharge from the hospital. Which instruction should the nurse provide to the client and his family prior to discharge?

Answer Choices:

A. Investigate local state laws related to operating a motor vehicle.
B. Surgery may be Indicated to remove the epileptogenic focus.
C. When seizure free for 1 year, the medications may be discontinued,
D. Investigate resources that provide disability payments.
A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity. 

Answer Choices:

A. . • Neurological: Alert and oriented to person, place, time and situation. Reported generalized fatigue. Mild headache. Ringing in ears described as "roaring." • Cardiovascular: Normal heart tones. Denies chest pain. Radial pulses 3+, pedal pulses 2+, dorsalis pedis 2+, Capillary refill 2 seconds. • Respiratory: Clear breath sounds throughout bilateral lungs. Denies orthopnea. Reports dyspnea with exertion but denies dyspnea with rest. • Gastrointestinal: Denies nausea, vomiting, and diarrhea. Mild anorexia with 8 lb (3.6 kg) unintentional weight loss over 2 months. Denies blood in stool. • Genitourinary: Reported chronic dysmenorrhea with heavy menstrual bleeding. Denies pain with urination. Denies blood in urine. Uterus is palpated one finger breadth above pubic symphysis. • Musculoskeletal: Generalized weakness. Full range of motion. Denies pain. • Integumentary: Slightly pale in appearance. No lesions or jaundice.
A client with right hydronephrosis and a history of renal calculi is preparing for discharge following a retr6grade pyelogram. Which should the nurse include in the client's discharge instructions?

Answer Choices:

A. Report when hematuria becomes pink tinged.
B. Monitor urinary stream for decreased output.
C. Use incentive spirometer.
D. Restrict physical activities.
From Exam
RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128)

49 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI Exam(s)
  • Domain: Hesi MedSurg
  • Answer Choices: 4
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