The spouse of a patient with an ascending ostomy asks if the patient will always have to wear a pouch. What response should the nurse make?
a. "A bag will be needed all of the time."
b. "A bag will be needed only during the night."
c. "A bag will be needed only to protect the stoma."
d. "No, a bag will not be needed after discharge from the hospital."
ANS: A
A bag will be needed all of the time as the stool will be liquid to mushy. B. C. D. These responses are inappropriate for the patient with an ascending ostomy.
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The nurse is unable to palpate pedal pulses bilaterally on an obese patient. The next appropriate step is to:
A) Document that pedal pulses are absent. B) Auscultate heart tones. C) Assess gait. D) Assess pulses with a Doppler.
The nurse is working with a female adolescent patient who is dying. The nurse understands this child's concept of death is:
a. Death is not permanent b. Death may happen in the distant future c. Understands death in a logical manner d. Curious about dead flowers and animals
According to the Neuman systems model, the goal of nursing is to
a. Promote the self-care of individuals, families, and communities b. Restore, maintain, or attain behavioral system balance at the highest level possible c. Help people interact with their environments in ways that lead to health d. Keep the client stable through the assessment of stressors and appropriate interventions
Do not encourage coughing and deep breathing in patients
A. over the age of 55. B. with lung conditions or respiratory problems. C. with eye, nose, or neurologic surgery. D. until the third postoperative day.