ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The home care nurse is assessing a client's abdomen 4 weeks after a colostomy in the descending colon was created. What are the expected findings of the a healthy client's abdominal assessment? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: The correct answer is A, B, C, D, and E. A healthy client's abdominal assessment post-colostomy should include:
A) stoma is shiny and moist due to adequate blood supply and hydration,
B) stoma is deep pink indicating good perfusion,
C) peristomal skin is not reddened or tender indicating no skin breakdown,
D) abdomen is flat as distension could indicate complications, and E) bowel sounds present at 8 to 10 clicks/gurgles per minute indicating normal gastrointestinal motility.
Choices F and G are not applicable as the correct options cover all expected findings in a healthy client post-colostomy.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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