NCLEX Practice Test

Which statement made by a client with an ascending colostomy indicates that further teaching is required?

1. I always try to drink 3 liters of water each day

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

3. I change the appliance and bag every other day

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

The correct answer is: I always try to drink 3 liters of water each day

The statement indicating that further teaching is required is the one regarding the client aiming to drink 3 liters of water each day. While staying hydrated is important, this amount may be excessive for some individuals, especially considering factors such as the client’s overall health, activity level, and any existing medical conditions. For someone with an ascending colostomy, fluid intake needs may vary and should be tailored to the individual’s needs, potentially under the guidance of a healthcare provider. Maintaining adequate hydration is essential, but emphasizing that the client should listen to their body's signals and adjust their fluid intake appropriately is crucial. The other options reflect appropriate knowledge and habits for managing an ascending colostomy. For example, avoiding certain foods that can cause gas is a common recommendation for those with this type of colostomy, as it can help minimize discomfort and odor. Regularly changing the appliance every other day is also a typical practice, as it helps maintain skin integrity and hygiene. Lastly, emptying the bag when it is about one-third full is a good practice to prevent leakage and discomfort. Thus, the focus on fluid intake may need further clarification to ensure it aligns with their health status and individual hydration needs.