The client has undergone a total colectomy with an ileoanal reservoir. What is the priority nursing intervention at this time?
A. Consulting with an enterostomal therapist
B. Providing frequent perineal care
C. Monitoring of urinary output
D. Managing constipation
B
A client who has had a total colectomy with an ileoanal reservoir does not have an ostomy be-cause the ileum is sutured into the anal canal. The client will experience perineal irritation as a result of frequent, loose stools, and frequent perineal care is needed to prevent skin breakdown.
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Throughout pregnancy, vaginal secretions are typically
a. thin, clear, and watery. b. thick, white, and milky. c. thick with white mucoid clumps. d. thin, with occasional dark red or rust-colored discharge.
Which individual should the nurse assess as having the highest risk for homelessness?
a. An older adult woman with mild dementia who resides in an assisted-living facility b. An adult with serious mental illness and no family c. An adolescent with an eating disorder d. A married person with alcoholism
Considering iron replacement therapy prescribed for iron deficiency anemia, who is likely to require long-term daily maintenance dosage?
a. A woman who has not yet experienced menopause b. A teenager who is involved in strenuous athletics c. A middle-aged man who smokes two packs of cigarettes a day d. An older person demonstrating signs of dementia
The nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 6.8 mg/dL. What would be a priority problem when planning care for this patient?
A. Safety concerns because of confusion B. Changes in renal function C. Potential for injury D. Problems with oxygenation