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Medical Surgical NCLEX RN Questions

Extract:


Question 1 of 5

A client with colon cancer undergoes surgical removal of a segment of colon and creation of a sigmoid colostomy. What assessments by the nurse indicate the client is developing complications within the first 24 hours? Select all that apply.

Correct Answer: B,C,D

Rationale: A dusky stoma (
B) indicates poor blood supply, no drainage (
C) suggests obstruction or dysfunction, and fever (
D) may indicate infection, all of which are complications post-colostomy. Coarse breath sounds (
A) and decreased bowel sounds (E) are not necessarily indicative of immediate complications.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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