Saunders Comprehensive Review-
Urinary and Bowel Elimination Exam
Questions & Answers (Grade A+)
The nurse is assessing a client with bladder cancer who had a
cystectomy and creation of a ureterostomy. Which statement by
the client indicates the need for more education about urinary
stoma care?
1. "I change my pouch every week."
2. "I change the appliance in the morning."
3. "I empty the urinary collection bag when it is two-thirds full."
4. "When I'm in the shower, I direct the flow of water away from my
stoma. -
correct answer ✅Answer: 3
Rationale: The urinary collection bag needs to be changed when it
is one-third full to prevent pulling of the appliance and leakage. The
remaining options identify correct statements about the care of a
urinary stoma.
Test-Taking Strategy: Note the strategic words, need for more
education. These words indicate a negative event query and the
need to select the incorrect client statement. Therefore, eliminate
the options that indicate client understanding. Noting the words
two-thirds full will assist in directing you to the correct option
, Saunders Comprehensive Review-
Urinary and Bowel Elimination Exam
Questions & Answers (Grade A+)
The nurse is providing care for a client with ulcerative colitis who
underwent the creation of a transverse colostomy. Which
observation requires immediate notification of the surgeon?
1. Stoma is beefy red and shiny.
2. Stoma has a purple discoloration.
3. Skin excoriation is noted around the stoma.
4. Semiformed stool is noted in the ostomy pouch. -
correct answer ✅Answer: 2
Rationale: Ischemia of the stoma would be associated with a dusky
or bluish or purple color. A beefy red and shiny stoma is normal and
expected. Skin excoriation needs to be addressed and treated but
does not require as immediate attention as purple discoloration of
the stoma. Semiformed stool is a normal finding.
A client with ulcerative colitis had a new colostomy created 2 days
earlier and is beginning to pass malodorous flatus from the stoma.
What is the correct interpretation by the nurse?
1. This is a normal, expected event.
2. The client is experiencing early signs of ischemic bowel.
Urinary and Bowel Elimination Exam
Questions & Answers (Grade A+)
The nurse is assessing a client with bladder cancer who had a
cystectomy and creation of a ureterostomy. Which statement by
the client indicates the need for more education about urinary
stoma care?
1. "I change my pouch every week."
2. "I change the appliance in the morning."
3. "I empty the urinary collection bag when it is two-thirds full."
4. "When I'm in the shower, I direct the flow of water away from my
stoma. -
correct answer ✅Answer: 3
Rationale: The urinary collection bag needs to be changed when it
is one-third full to prevent pulling of the appliance and leakage. The
remaining options identify correct statements about the care of a
urinary stoma.
Test-Taking Strategy: Note the strategic words, need for more
education. These words indicate a negative event query and the
need to select the incorrect client statement. Therefore, eliminate
the options that indicate client understanding. Noting the words
two-thirds full will assist in directing you to the correct option
, Saunders Comprehensive Review-
Urinary and Bowel Elimination Exam
Questions & Answers (Grade A+)
The nurse is providing care for a client with ulcerative colitis who
underwent the creation of a transverse colostomy. Which
observation requires immediate notification of the surgeon?
1. Stoma is beefy red and shiny.
2. Stoma has a purple discoloration.
3. Skin excoriation is noted around the stoma.
4. Semiformed stool is noted in the ostomy pouch. -
correct answer ✅Answer: 2
Rationale: Ischemia of the stoma would be associated with a dusky
or bluish or purple color. A beefy red and shiny stoma is normal and
expected. Skin excoriation needs to be addressed and treated but
does not require as immediate attention as purple discoloration of
the stoma. Semiformed stool is a normal finding.
A client with ulcerative colitis had a new colostomy created 2 days
earlier and is beginning to pass malodorous flatus from the stoma.
What is the correct interpretation by the nurse?
1. This is a normal, expected event.
2. The client is experiencing early signs of ischemic bowel.
