A nurse is caring for several clients. One client needs ostomy care. The nurse delegates ostomy care to the unlicensed assistive personnel for the client who
a. has had the ostomy for several years, but whose arthritis makes self-care difficult.
b. is afraid to touch the ostomy, causing the nurse to be frustrated and short-tempered.
c. underwent ostomy surgery 3 days ago and has been stable with a red stoma.
d. uses multiple brands and sizes of appliances and pouches.
A
An unlicensed assistive personnel can appropriately perform uncomplicated ostomy care on the stable, long-term ostomate. The RN should do this care on a client with a fresh ostomy in order to perform vital assessments and teaching.
You might also like to view...
A newborn is admitted to the nursery from the delivery room. All of the activities must be performed. Place the activities in order of performance from first to last. Standard Text: Click and drag the options below to move them up or down
Choice 1. Administer a vitamin K injection. Choice 2. Take vital signs. Choice 3. Place in an overbed warmer. Choice 4. Administer eye prophylaxis. Choice 5. Administer an admission bath.
A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic. This nurse is demonstrating which value of client advocacy?
1. The client has the right to make choices and decisions. 2. The client has the right to expect a nurse–client relationship based on shared respect. 3. The nurse has the responsibility to ensure the client has access to health care services 4. The nurse has the responsibility to to make choices and decisions.
The nurse plans a burn prevention program for older persons at a neighborhood association meeting. The visual aid developed by the nurse to emphasize the most common cause of burn injuries in an older adult would be:
1. A lit cigarette 2. A bathtub of hot water 3. Pots and pans on a stove 4. Frayed electrical wires
During which week would pregnancy begin to pose health concerns for the fetus?
a. 36 weeks b. 38 weeks c. 40 weeks d. 42 weeks