The colostomy patient continues to worry about odor. The nurse can help allay those concerns by explaining that odor:
1. only occurs when changing the colostomy appliance.
2. is caused by certain foods that can be omitted from the diet.
3. is mainly caused by poor hygiene and can be remedied.
4. is far more noticeable to the patient than to others.
2
The problem of odor is a frequent cause of anxiety to the colostomy patient. Gas is the main cause of odor production. Omission of gas-causing foods can reduce gas and odor, mainly by the trial and error method. Odor is noticeable to both the patient and others.
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A nurse is providing morning care to a client whose infected wound must be redressed. Which of these actions is correct?
a. Don clean gloves and change them between the morning care and dressing change. b. Don clean gloves, remove them after morning care, wash hands, and apply new gloves for the dressing change. c. Wash hands and wear one pair of clean gloves for all client's care. d. Wear clean gloves for morning care and sterile gloves for the dressing change.
Patient and family participation in discharge planning of home care are encouraged. The purpose of discharge planning is to promote continuity of care and begins:
a. a week before discharge. b. two days before discharge. c. the day of discharge. d. on admission.
The nurse inserts a tube through the client's nose and into the small bowel for enteric feedings. Which term will the nurse use for the tube when documenting this procedure?
1. Orogastric tube 2. Gastrostomy tube 3. Jejunostomy tube 4. Nasojejunal tube
Severe sleep apnea is diagnosed in a client after completion of a series of sleep studies. The physician recommends a continuous positive airway pressure (CPAP) machine be used
The client is resistant, reporting he does not feel this is an unnecessary expense and snoring is not so bad. What response by the nurse is most beneficial at this time? A) "Perhaps you can try sleeping in another position to reduce the snoring." B) "The CPAP is about 75% effective in relieving upper obstruction and should be reconsidered." C) "Untreated sleep apnea may increase your risk of cardiovascular complications." D) "Since you have decided to forgo the CPAP, I would recommend you avoid caffeine and alcohol at bedtime."