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    Hesi lpn exit proctored examQuestion 256
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    Hesi lpn exit proctored exam

    The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

    Explanation & Rationale

    A. Verify that the client had nothing by mouth (NPO) for the past 24 hours: While confirming NPO status is important for surgical preparation, it does not address the client’s concern about the appearance or function of the surgical stoma. B. Ask the client if he finished the bowel sterilization prescription: Ensuring bowel preparation is completed is part of preoperative care, but it does not provide the client with understanding or reassurance about postoperative elimination or stoma visibility. C. Determine if this is the first indwelling catheter the client has had: Assessing prior catheter experience is relevant for comfort and procedural anxiety, but it does not address the client’s question about the fecal diversion site. D. Review the client's expectations of elimination after surgery: Discussing what to expect regarding the stoma and changes in elimination helps clarify misconceptions, reduces anxiety, and promotes informed participation in care.

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