The nurse caring for the patient who is immediately postoperative with a new ileostomy. Which intervention is most important for the nurse to implement at this time?
a. Change the ostomy pouch frequently.
b. Provide emotional support.
c. Administer a stool softener.
d. Offer the patient frequent snacks.
B
Helping the patient adjust to the new ostomy is one of the highest priorities in the immediate postoperative period. In the immediate postoperative period, the pouch should not be changed any more than is necessary to avoid trauma to the skin. A stool softener is not indicated since stools are usually softer and more watery when coming from a stoma. Diet advancement is a gradual process that must coordinate with returning bowel function, and the patient may be NPO for a short time while bowl motility returns.
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The development of nursing in the United States has been closely associated with certain watershed events in American history. What event created the greatest awareness of the need for skilled nurses?
A) The Declaration of Independence B) The Civil War C) The abolition of slavery D) The entry of the United States into World War II
When the nurse finds a client with anorexia nervosa vigorously exercising before she has gained the
agreed-on weekly weight gain, the nurse should state a. "It bothers me to see you exercising. You'll lose more weight.". b. "You and I will have to sit down and discuss this problem.". c. "According to our agreement, no exercising is permitted until you have gained a specific amount of weight.". d. "Let's discuss the relation between exercise and weight loss and how that affects your body.".
The psychiatric forensic nurse describes her work as follows: "I apply my knowledge of
psychopathology as I investigate and reconstruct the crime and attempt to understand the criminal's reasoning process. This allows me to compile information on the type of individual who would have committed the crime.". The work the nurse describes is a. forensic examiner. b. competency therapist. c. hostage negotiator. d. criminal profiler.
The client exhibits a trait that has appeared in every generation of his or her family. This is an example of which type of inheritance?
a. Autosomal recessive b. Sex-linked recessive c. Autosomal dominant d. Sex-linked dominant