COMPREHENSIVE TEST 2026 SOLVED
QUESTIONS
◉ Why is a patient who has undergone a colostomy instructed to
measure the width of the stomas for the first 6 weeks
postoperatively before applying each new pouch? Answer: The
stoma will shrink during this time.
◉ A 47-year-old patient with a permanent colostomy reports some
abdominal discomfort and rigidity 3 days after surgery. Which
assessment should the nurse report and record? Answer: Vital signs
are temperature, 100° F; pulse, 92 beats/min; and blood pressure,
160/98 mm Hg.
◉ A nurse is aware that many patients with ostomies have an
altered self-image. What might this cause? Answer: Sexual
dysfunction
◉ What should a nurse instruct the patient to do to ensure a good fit
of the appliance to avoid leakage? Answer: Check pouch placement
to ensure a firm seal.
, ◉ What should a nurse suggest to a patient with a colostomy choose
when selecting an appropriate diet to reduce excess gas or diarrhea?
Answer: Roast beef, mashed potatoes, and peeled stewed tomatoes
◉ A patient who has had a temporary colostomy to rest his ulcerated
bowel says, "I don't know how I will continue to work at my job with
this thing stuck to my stomach." Which response by the nurse is
most likely to stimulate communication? Answer: "What is there
about your job that you feel you cannot do?"
◉ What is the primary advantage of a J-pouch anal anastomosis
procedure? Answer: Near-normal bowel elimination
◉ What should a nurse include in postoperative teaching for a
patient who has undergone a ureterostomy? Answer: The
significance of the ureteral catheter for the first week
◉ A patient with an ostomy asks the nurse what limitations should
be observed in the immediate postoperative period when at home.
What is the most informative information that the nurse should
share? Answer: Avoid heavy lifting for at least 3 months.
◉ A patient with a colostomy continues to worry about odor. What
instruction should a nurse provide to allay this concern? Answer:
Rinse the pouch in a vinegar solution.