To ensure a good fit of the appliance to avoid leakage, which of the following should the nurse consider for pouch placement?

1. Place the pouch only when the patient is lying down.
2. The pouch placement should be checked for sitting comfort, standing comfort, and ambulation.
3. The pouch should fit very snugly to edges of stoma.
4. The pouch must cover the entire abdomen.


2
Placement of the pouch should be comfortable in all positions, but not too snug on the stoma for fear of laceration. The pouch need only cover enough of the abdomen to allow for a firm fit.

Nursing

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A nurse cares for an older adult client with heart failure. The client states, "I don't know what to do. I don't want to be a burden to my daughter, but I can't do it alone. Maybe I should die." How should the nurse respond?

a. "Would you like to talk more about this?" b. "You are lucky to have such a devoted daughter." c. "It is normal to feel as though you are a burden." d. "Would you like to meet with the chaplain?"

Nursing

The nurse is preparing to give a patient on hemodialysis his first dose of the hepatitis B vaccine. When will the nurse administer the second and third doses of this vaccine?

A) 1 and 2 months after the first dose B) 2 months and 4 months after the first dose C) 1 and 6 months after the first dose D) 6 months and one year after the first dose

Nursing

The nurse is aware that the large flattened features of the patient with acromegaly are caused by an excess of:

1. prolactin. 2. growth hormone. 3. thyroid-stimulating hormone. 4. adrenocorticotropic hormone.

Nursing

Four of the 10 leading causes of death in the United States are linked to which of the following?

1. developmental crisis 2. cigarette smoking 3. illicit drug use 4. diet

Nursing