The client started passing foul-smelling flatus from the colostomy stoma after two days of the insertion. What is the correct interpretation for the nurse?

Correct Answer: C

Rationale: Foul-smelling flatus is expected 2 days post-colostomy, indicating bowel function. Ischemia , NG tube , or prep don't apply. Nurses, per NCLEX, interpret this as normal recovery, making C correct.

Correct Answer: B

Rationale: Fatigue is a pervasive sense of exhaustion that doesn't fully resolve with rest and is often linked to chronic illness, such as cancer, heart disease, or autoimmune disorders. These conditions tax the body's resources, leading to persistent tiredness that impacts daily functioning. Choice A, excessive sleep, might cause grogginess but isn't a primary driver of pathological fatigue; in fact, fatigue often persists despite rest. Choice C, high physical fitness, typically reduces fatigue by enhancing endurance, not contributing to it. Choice D, improved nutrition, supports energy levels rather than depleting them, unless malabsorption is involved, which isn't specified. Choice B, chronic illness, is the most significant contributor, as it disrupts physiological balance, increases metabolic demand, and often leads to the kind of unrelenting fatigue nurses must address through tailored interventions.

Correct Answer: B

Rationale: Acute pain is marked by a sudden onset tied to an identifiable cause, like a cut, fracture, or surgery, acting as the body's alarm system to signal harm. It's typically sharp and resolves as the injury heals, distinguishing it from chronic pain. Choice A, gradual onset over months, describes chronic pain's slow development, not acute pain's immediacy. Choice C, persistent dull ache, aligns more with chronic pain, which lingers and varies in intensity, unlike acute pain's acute, often intense nature. Choice D, no response to treatment, doesn't fitacute pain usually responds to interventions like analgesics or rest, while chronic pain may resist resolution. Choice B is correct, capturing acute pain's suddenness and clear origin, a key distinction nurses use to assess and manage it effectively, tailoring interventions to its short-term, cause-specific profile.

Correct Answer: B

Rationale: Providing a quiet environment best promotes comfort for a client at end-of-life in palliative care, reducing sensory overload and fostering peace amid physical and emotional decline. Noise can heighten agitation or anxiety, common in dying patients, while quiet supports rest and dignity. Choice A, encouraging aggressive treatment, contradicts palliative goalscurative efforts may prolong suffering, not ease it. Choice C, scheduling frequent assessments, disrupts rest, increasing distress rather than comfort, though monitoring is needed, it should be unobtrusive. Choice D, limiting family presence, is counterproductivefamily often provides emotional solace, enhancing comfort unless the client specifies otherwise. Choice B is correct, aligning with palliative care's focus on holistic comfort, addressing environmental factors nurses control to minimize stress, complementing pain management and emotional support for a serene end-of-life experience.

Correct Answer: C

Rationale: The basis of the nurse's response is to promote comfort, as morphine in palliative care manages severe pain or dyspnea, enhancing quality of life when curing isn't the goal. It targets opioid receptors to dull pain perception, easing suffering in terminal illness. Choice A, curing the illness, is incorrectpalliative care focuses on symptom relief, not cure, accepting disease progression. Choice B, improving alertness, contradicts morphine's sedative effect; it may calm agitation but typically drowses, not sharpens focus. Choice D, increasing appetite, isn't morphine's purposepain relief might indirectly help eating, but it's not primary. Choice C is correct, reflecting palliative care's ethosnurses explain morphine's role in comfort, reassuring families it's about dignity and peace, not hastening death, aligning with holistic end-of-life support.