OCN Practice Test Questions

OCN Practice Test Questions The nurse is assessing a patient with an ileostomy. The peristomal skin is erythematous, excoriated, and bleeding. Which of the following complications should the nurse first suspect? a. allergy to device b. increased output over baseline c. stenosis requiring revision d. improper fit - ANSWER-D. improper fit Peristomal skin should be dry and intact. If the pouch has leaked, the skin may be red raw or bleeding. A patient with esophageal cancer reports cramping and diarrhea after eating meals. What should the nurse recommend? a. Chewing food thoroughly b. Drinking at least 20 ounces of water during meals c. Eating small, frequent meals d. Decreasing dietary protein intake - ANSWER-c. eating small, frequent meals Dumping syndrome can occur if patients eat too fast, eat an improper diet, or drink too many fluids with meals. Patients should be advised to eat small, frequent meals. Carcinoma in situ indicates that there is which of the following features? a. Poor differentiation of lymphoid cells b. Abnormal cells without spread to nearby tissue c. Poor prognosis due to the cell type observed d. Distant metastasis that will require further surgery - ANSWER-b. abnormal cells without spread to nearby tissue Carcinoma in situ is not actually the presence of cancer, but abnormal cells with the potential of becoming cancer. A patient states, "I have been afraid to show my body to my spouse since the mastectomy." To promote open communication, the nurse responds: a. "There are many options for prostheses and reconstruction." b. "Do not worry, things will look better in a few weeks." c. "Let's practice discussing your concerns with your spouse." d. "I am sure yo