NCLEX Practice Test

Which statement by the client indicates that further teaching is needed for someone with an ascending colostomy?

1. I avoid eating beans, onions, broccoli, and cauliflower

2. I change the appliance and bag every other day

3. I empty the bag when it is about one-third full

4. I try to drink 3 liters of water each day

The correct answer is: I avoid eating beans, onions, broccoli, and cauliflower

The statement about avoiding beans, onions, broccoli, and cauliflower suggests a misunderstanding of dietary management for someone with an ascending colostomy. While individuals may choose to avoid certain foods due to personal preferences or previous experiences with gas or odor, the focus should instead be on a balanced diet that helps maintain regular bowel function and manage output from the colostomy. Beans, onions, broccoli, and cauliflower are known to produce gas but do not need to be universally avoided unless they specifically cause discomfort or issues for that individual. Educational efforts should emphasize the importance of understanding personal triggers while still including a wide variety of foods in their diet to ensure adequate nutrition and promote healthy digestion. The other statements reflect appropriate management strategies for someone with an ascending colostomy. Regular changing of the appliance and bag, emptying the bag when it reaches a certain fill level to prevent leakage, and maintaining proper hydration are all important aspects of care that indicate a good understanding of how to manage an ascending colostomy effectively.