1. The nurse is providing health teaching regarding ostomy care to a client with Crohn's
disease.
The client asks about what can be done to prevent infection of the stoma.
Which of the following statements is inappropriate?
Select one:
a. Change the entire pouch system every day.
b. Empty the pouch when it is 1/3 to 1/2 full."
c. "Use a skin barrier cream to protect your skin."
d. "Wash your hands before and after changing or emptying the pouch."
2. The nurse is speaking to a client who is preparing to have a percutaneous endoscopic
gastrostomy (PEG) tube inserted. How does the nurse correctly explain the tube's
placement?
Select one:
a. "A stoma is created from the abdominal wall into the stomach, and a short feeding
tube is surgically inserted endoscopically"
b. . "A stoma is created from the abdominal wall into the jejunum, and a short feeding
tube is
surgically inserted"
c. "A flexible plastic tube is inserted down the nasopharynx and into the stomach"
d. "The tube is inserted down the nasopharynx and into the duodenum"
3. A client diagnosed with ulcerative colitis (UC) undergoes a colectomy surgical
procedure.
Which of the following explanations are accurate regarding a sigmoid colostomy?
Select one:
© 1. Expect liquid stools with frequent flatus
O 2. Expect semi-formed stools with increased fluid requirements
O 3. Expect formed stools with no change in fluid requirements
© 4. Expect semi-liquid stools with increased fluid requirements
4. The nurse is caring for a 40 year-old male client who is preparing to undergo an
ostomy insertion surgery. The client is single and expresses their concerns about dating.
The client tells the nurse that they are concerned that women will not find them
desirable with a stoma.
Which of the following is the most appropriate response for the nurse to make with
regards to the client's concerns?
Select one:
a. . "I know how you feel, as I have been rejected on a date before"
b. "Don't worry, no one will care that you have a stoma
c. The Body changes that accompany the procedure will take time to adjust to, and
many clients who undergo an ostomy surgery feel this way about sexuality .
d. At least the stoma is small and you can hide it under your clothing*
5. The nurse is caring for a client with a jejunostomy pouch that is preparing for
discharge. Which of the following healthcare team members should the nurse involve in
the planning and implementation of health teaching prior to this client's discharge?
Select one:
a. Dietitian
b. Physiotherapist
c. Speech Language Pathologist
d. Respiratory Therapist
6. A precepting nurse working on the unit is observing a new graduate nurse reinforce
teaching to a client who had a percutaneous endoscopic gastrostomy (PEG) tube placed
4 days ago.
• Which statement made by the new graduate nurse would require the precepting
nurse to intervene?
Select one:
a. "You must flush the tube with water after feedings and clamp it" y
b. "I will check placement of the tube four times a day"
c. "Only 4 hours of feeding products should be added at a time" ×
d. "Indigestion can occur with a PEG
7. A client with Parkinson's disease who is nauseous now requires enteral feeds. A nurse
prepares to insert a nasogastric (NG) tube.
Which of the following actions demonstrates proper precautions when inserting the NG
tube?
Select all that apply:
a. Performing hand hygiene before assess the client's nares
b. The nurse dons sterile gloves prior to inserting the NG tube
c. A nurse dons a face mask, goggles and a gown prior to NG tube insertion
d. After determining the length of the tube to be inserted, the nurse dons clean gloves
prior to insertion of the tube
e. The nurse washes hands while wearing gloves to reuse them during the procedure
8. The nurse is caring for a client who is acutely malnourished. The client has been
prescribed an NG tube for insertion and enteral feedings are to be administered. As the
nurse explains the procedure to the client, they mention that they are not able to
consume any products made from cow's milk in accordance with their self-reported
spiritual beliefs.
The enteral feedings that the hospital supplies are milk-based. Which of the following is
the most appropriate response for the nurse to make?
Select one:
a. . Explain to the client that an exception must be made in their diet to ensure that the
appropriate nutrition is supplied
b. Collaborate with a dietician to determine an alternative enteral feeding that
accommodates the client's dietary restriction
c. Administer the cow's milk feeding to the client but do not disclose the ingredients of
the supplement
d. Document that the client declined the treatmen