The nurse is caring for an infant with a temporary ileostomy. As part of the nursing plan, the nurse monitors for skin breakdown around the stoma. If redness occurs, how can the nurse promote healing and prevent further skin breakdown?
A) Clean the area well with a scented diaper wipe.
B) Apply a barrier/healing cream or paste on skin.
C) Use a barrier wafer (such as stomahesive) to attach the appliance.
D) Sanitize the area with an alcohol wipe after each diaper change.
B
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A nurse who receives frequent phone calls informs the manager the phone calls are related to health issues concerning a family member. Which of the following actions by the manager would be appropriate?
1. Inform the nurse the personal phone calls are not allowed. 2. Discuss with the nurse how personal phone calls may affect client care and should be limited. 3. Inform the nurse the phone calls are causing morale issues amongst the staff. 4. Discuss the nature of the calls and possibly allow the nurse to carry a cell phone.
Lactated Ringer's Solution does not affect the fluid balance of surrounding cells and tissues; therefore, is
classified as a(n) __________________ solution. A. hypertonic B. isotonic C. hypotonic D. therapeutic
The nurse is providing instructions to the mother of a child with human immunodeficiency virus (HIV) infection regarding immunizations
Which of the following statements, if made by the mother, indicates an understanding of the immunization schedule? 1. "The hepatitis B vaccine is not to be given to my child." 2. "My child will receive all the vaccines like any other child." 3. "Family members in the household need to receive the influenza vaccine." 4. "Blood tests need to be evaluated before any immunizations are given to my child."
A nurse is inspecting the skin of a child with atopic dermatitis. What would the nurse expect to observe?
A) Erythematous papulovesicular rash B) Dry, red, scaly rash with lichenification C) Pustular vesicles with honey-colored exudates D) Hypopigmented oval scaly lesions