The nurse is providing discharge teaching for a client who has undergone colon resection surgery with a colostomy. Which statements by the client indicate that the instruction was understood? (Select all that apply.)
a. "I will change the ostomy appliance daily and as needed."
b. "I will use warm water and a soft wash-cloth to clean around the stoma."
c. "I will start bicycling and swimming again once my incision has healed."
d. "I will notify the doctor right away if any bleeding from the stoma occurs."
e. "I will check the stoma regularly to make sure that it stays a deep red color."
f. "I will avoid dairy products to reduce gas and odor in the pouch."
g. "I will cut the flange so it fits snugly around the stoma to avoid skin break-down."
B, C, G
The client should avoid using soap to clean around the stoma because it might prevent effective adhesive of the ostomy appliance. The client should use warm water and a soft washcloth in-stead. The stoma should remain a soft pink color. A deep red or purple hue indicates ischemia and should be reported to the surgeon right away. The tissue of the stoma is very fragile, and scant bleeding may occur when the stoma is cleaned. Yogurt and buttermilk can help reduce gas in the pouch, so the client need not avoid dairy products. Exercise (other than some contact sports) is important for clients with an ostomy.
You might also like to view...
The nurse is caring for a patient who has a diagnosis of chronic hepatitis B infection and has been prescribed an immune stimulant. After teaching the patient about the treatment plan, how might the nurse evaluate the effectiveness of teaching?
A) The patient can state where to go to get the medication. B) The patient can state who will administer the medication. C) The patient can state what positive effects to watch for. D) The patient can state specific measures to avoid adverse effects.
As the head of a nursing program, you consistently invite the ideas of your team about innova-tions in teaching, community partnerships, and curriculum design and invite participation in de-cisions
Many of these ideas have been implemented successfully, and your staff members are keen to try on other ideas. You are employing _____ leadership. a. Situational b. Trait-based c. Contingency-based d. Transformational
You are caring for a patient in the postoperative period following an abdominal hysterectomy
Your patient states, "I don't want to use my pain medication because it will make me dependent, and I won't get better as fast." Which response is most important when explaining the use of pain medication? A) "You will need the pain medication for at least 1 week to help in your recovery. What do you mean you feel you won't get better faster?" B) "Pain medication will help to decrease your pain and increase your ability to breath. Dependency is a risk with pain medication, but you are young and won't have any problems." C) "Pain medication can be given by mouth to prevent the risk of dependency that you are worried about. The pain medication has shown to increase your risk of a slowed recovery." D) "Pain medication decreases your pain so you can move more easily. You will heal more quickly with decreased pain. Dependence only occurs when it is administered for an extended period of time."
The client asks why she was instructed not to use aspirin or aspirin-containing products after cataract surgery. What is the nurse's best response?
A. "Aspirin can increase intraocular pressure after surgery and cause damage to the eye." B. "Aspirin changes the ability of the blood to clot and increases your risk of eye bleeding after surgery." C. "Aspirin reduces inflammation and might mask any symptoms of infection in the surgical area." D. "Aspirin can cause nausea and vomiting, and you might become so dehydrated that your eyeball will become too soft to support the new lens implant."