Hesi RN Exit Proctored Exam
Assessment findings for a client following a colectomy for familial polyposis include an ileostomy bag that contains a large amount of fecal liquid and an IV infusion of dextrose 5% in lactated Ringer's infusing at a rate of 100 mL/hour. Which assessment is most
Explanation & Rationale
A. While monitoring urinary output is important, it is not the most critical assessment in this context. B. Monitoring serum electrolytes is crucial because the large amount of fecal liquid output from the ileostomy can lead to significant electrolyte imbalances. C. Peristomal skin integrity is important but is secondary to the immediate risk of electrolyte imbalances. D. Skin turgor is important for assessing hydration status, but monitoring electrolytes is more directly related to the immediate postoperative care.
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