Practice Question
A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Answer Choices:
Correct Answer:
Purplish-colored stoma
Rationale:
📌A healthy stoma should appear moist, shiny, and red or rose-colored, indicating good perfusion.
📌A purplish or dusky stoma suggests compromised blood flow or ischemia, requiring immediate notification of the provider.
📌This may be a sign of stoma necrosis, a serious complication needing urgent evaluation.
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This question is from RN Nurs 100 Fundamentals Quiz which contains 26 questions.
More Questions from This Exam
A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?
Answer Choices:
A. The client should be taught that the goal of therapy is to have a bowel movement daily.
B. The client should try to take in all of the required dietary fiber with the morning meal.
C. The client should follow a high fiber diet to establish bowel regularity
D. The client should take two to three 8 oz glasses of water each day.
A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?
Answer Choices:
A. Cover the wound with a moist, sterile gauze dressing
B. Check the client's vital signs
C. Assess the clients pain level
D. Obtain a culver culture and sensitivity of the wound drainage
Which of the following is a common risk factor for developing a urinary tract infection (UTI)?
Answer Choices:
A. Drinking plenty of water
B. Maintaining good personal hygiene
C. Having a unity catheter
D. Frequent handwashing
A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "It might take up to 3 days for the medication to work."
B. "l will take the medication for diarrhea."
C. "l can take this medication along with mineral oil"
D. "l should drink 4 ounces of water when I take the medication."
A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?
Answer Choices:
A. Sanguineous
B. Serous
C. Serosanguineous
D. Purulent
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4