When explaining the difference between a colostomy and an ileostomy, the nurse tells the patient that an ileostomy:
a. is always permanent.
b. drains semi-liquid stool.
c. has a much larger stoma.
d. does not need a pouch.
B
The ileostomy is higher in the GI tract and drains semi-liquid stool. The ileostomy is very similar in appearance to the colostomy, may not be permanent, and needs a pouch.
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In caring for the postcraniotomy patient, the nurse can help reduce ICP by:
1. keeping the patient flat in bed. 2. elevating the head of the bed 30 degrees. 3. closely monitoring the IV rate. 4. turning the patient to her or his right side.
When taking the blood pressure (BP) on the right arm of a patient with severe acute pancreatitis, the nurse notices carpal spasms of the patient's right hand. Which action should the nurse take next?
a. Ask the patient about any arm pain. b. Retake the patient's blood pressure. c. Check the calcium level in the chart. d. Notify the health care provider immediately.
After a cerebrovascular accident, a man is unable to either feel or identify a comb with his eyes closed. This is an example of:
a. Agraphia b. Tactile agnosia c. Anosognosia d. Prosopagnosia
Assessing an older adult patient's ability to engage in activities of daily living is a part of which assessment?
A. Developmental B. Functional C. Cultural D. Screening