A patient with fecal incontinence has an excoriated perianal region. Which interventions should be discussed with the RN? (Select all that apply.)
a. Stool culture
b. Antibiotic therapy
c. Protective barrier cream
d. Baby powder to peri area
e. A low-pressure rectal tube
f. Nasogastric (NG) tube to suction
ANS: A, C, E
Research supports the use of the Flexi-Seal Management System—a soft silicone tube with a low-pressure balloon at the end inserted into the rectum. Stool cultures are appropriate to identify the presence of an infectious agent. Protective barrier cream is recommended to protect the skin from digestive enzymes. F. NG tube to suction is not necessary, although bowel rest with NPO status may be ordered. D. Baby powder will not promote healing or protect the skin. B. Antibiotics will not be ordered until stool specimen results indicate an infectious agent.
You might also like to view...
The nurse is caring for a 3-year-old boy. The parents are concerned that he is exhibiting signs of cognitive delays. Which of the following statements by the parents would indicate autism spectrum disorder rather than possible mental retardation?
A) "He is not speaking in complete sentences." B) "We can understand a lot of what he says, but no one else can." C) "He seems to be speaking less and less." D) "He is unable to sit still for a short story."
A parent has just been told that his 8-year-old son has died from a bullet wound inflicted by a 12-year-old neighbor. Which of the following defense mechanisms would the nurse expect to see in this crisis phase?
A) Denial, projection, and lack of logic B) Depression, self-hate, and low self-esteem C) New coping skills and higher maturity levels D) Acceptance, relief, and withdrawal
Which of the following best reflects the advantages of nystatin?
A. Nystatin remains unmetabolized in the intestine, which makes it a good choice in the treatment of intestinal candidiasis. B. It exhibits little or no absorption following oral administration and little adverse effects. C. It is a good choice for the treatment of pregnant women because the drug cannot affect developing fetal tissues. D. All of these are correct.
A client with pancreatic cancer is receiving chemotherapy even though prognosis is grim. How does the nurse explain the rationale for this treatment?
1. "It is a long shot, but maybe the chemotherapy will cure him." 2. "Sometimes the chemotherapy can reduce the size of the tumor." 3. "We just hate to give up on him. He is such a nice man." 4. "Chemotherapy can sometimes reduce the pain." 5. "Hopefully, the chemotherapy will improve his quality of life."