Which statement by a patient with an ileostomy as a remedy for ulcerative colitis indicates the need for further teaching?
a. "I will avoid milk products."
b. "I should select food with less dietary fi-ber."
c. "I'll miss my martini before dinner."
d. "I will be glad when the surgeon closes this ileostomy."
D
The ileostomy is permanent. The diet of a person prone to ulcerative colitis is low roughage, no milk products, and no alcohol.
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A nurse is called by her sister, who tells her how wonderful it is that she knows the exact date her baby is coming because her doctor scheduled her for a C-section before his vacation
Which of the following would be the most appropriate response by the nurse? a. "A C-section is major surgery. Do you remember what the doctor shared were the risks for yourself and your baby?" b. "How marvelous to know the date; I'll plan to visit you in the hospital." c. "I'm so pleased. I know exactly when I'm going to be an aunt." d. "Why not wait until after your doctor comes back from his vacation?"
A child having myringotomy tubes placed asks, "How and when will the tubes be removed?" What should the nurse respond to this patient?
A) "The tubes are not removed; they grow permanently into place.". B) "You will have them replaced every 2 months until you reach age 18 years.". C) "The tubes remain in place for 6 months and then are dissolved by vinegar.". D) "The tubes remain in place for 6 to 12 months until they come out by themselves.".
An adult with schizophrenia is discharged from a state mental hospital after 20 years of institutionalization. When planning care in the community, which premise applies? This patient is likely to
a. independently find support services to aid transition from hospitalization to community. b. adjust smoothly to the community if provided with sufficient support services. c. self-administer antipsychotic medications correctly if provided with education. d. need crisis or emergency psychiatric interventions from time to time.
A woman develops gestational diabetes. Which of the following assessments should she make daily?
A) Test her urine for protein with a chemical reagent strip. B) Measure her abdominal diameter with a tape measure. C) Measure her uterine height by hand-span distance. D) Measure serum for glucose level by a finger prick.