The nurse instructs a patient about home colostomy care. What information does the nurse include in patient teaching about caring for the pouch?
a. Empty the pouch at least every 4 hours around the clock.
b. Change the pouch every 3 to 7 days.
c. Empty the pouch when it is at least three-fourths full.
d. Change the pouch every other day.
B
The nurse instructs the patient to change the pouch every 3 to 7 days unless it begins to leak, in which case the patient should change it earlier. The nurse encourages the patient to use the pouch as long as possible, within reason, because ostomy supplies are costly. The pouch is emptied when it is one-half to two-thirds full to prevent it from pulling away from the body. It can be emptied before going to bed and when the patient awakens. The nurse encourages the patient to empty the pouch before it is two-thirds full because a pouch filled to this level is very heavy and more likely to leak.
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What is the reason for chest tubes after thoracic surgery?
A) Draining secretions, air, and blood from the thoracic cavity is necessary. B) Chest tubes allow air into the pleural space. C) Chest tubes indicate when the lungs have reexpanded by ceasing to bubble. D) Draining secretions and blood while allowing air to remain in the thoracic cavity is necessary.
You are caring for a patient who was admitted to have a low-profile gastrostomy device (LPGD) placed. How soon after the original gastrostomy tube placement can an LPGD be placed?
A) 10 to 12 months B) 8 to 10 months C) 6 to 8 months D) 3 to 6 months
The client has a living will in which he states he does not want to be kept alive by artificial means. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of ac
a. tell the family that they have no legal rights. b. tell the family that they have the right to override the living will because the patient cannot speak. c. report the situation to the hospital ethics committee. d. allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.
Which of the following statements by a client indicates the client is at risk for undernutrition? (Select all that apply.)
1. "I have been so sad and lonely since my wife died.". 2. "I've been taking chemotherapy for lung cancer.". 3. "Each day, I take two doses of multivitamins instead of one.". 4. "My dentures don't fit well anymore.". 5. "I feel like there are sometimes I cannot stop eating.".