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Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

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Mrs. Oates is scheduled for a bowel diversion surgery next week. She is diagnosed with bowel obstruction due to malignancy of the rectum. The physician informed her that they will create a permanent descending colostomy. When the nurse starts preparing the client for tests prior to the procedure, she asks the client if she has any questions about the procedure. Which of the following statements indicates a good understanding of the procedure?
  1. “I can pick the location of the stoma.”
  2. “I can still eat all the foods I want, just like before.”
  3. “After my surgery, I will be expecting watery stool without odor.”
  4. “The colostomy will be closed when my cancer disappears.”
Explanation
Answer: B - When a client says that she can eat all the foods that she wants just like before, this indicates a good understanding of the procedure. There are relatively few food restrictions when the client goes home; however, she should avoid foods that can cause diarrhea. Option A is incorrect; the anatomical location of the colostomy depends on the individual case. Option C is also incorrect; the descending colostomy will produce a semi-formed or almost normal stool consistency. Liquid fecal drainage is expected in ileostomy and ascending colostomy. Option D is incorrect; this particular colostomy is permanent.
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