The nurse is reinforcing teaching provided to a patient who is being discharged with a new colostomy. Which comments by the patient indicate understanding of the discharge teaching? (Select all that apply.)
a. "I will empty the pouch when it is less than half full."
b. "I can spray deodorant into the pouch after I clean it."
c. "I will not be concerned if there is no stool for several days."
d. "I'm so glad I can eat all the foods I like now, including hot dogs."
e. "I always check the seal and tape around the stoma after I shower."
f. "I should change the pouch each morning and evening to prevent infection."
ANS: A, B, E
The patient should empty the pouch before it is less than half full, use a deodorant spray in the pouch, and check the stoma seal after showering. D. Ostomy patients receive a soft diet initially, progressing to a general diet as the surgeon prescribes. Stringy, high-fiber foods are avoided initially. C. Lack of stool could indicate a blockage and should be reported. F. Pouches are changed as needed, from every 3 days to every 14 days.
You might also like to view...
A nursing instructor supervises a student nurse who is caring for a patient who is on fall precautions. The nursing instructor would intervene if he or she observed the student nurse
1. Keeping the bed at the highest position at all times. 2. Using furniture to block areas that are off-limits to the patient. 3. Placing the patient's bed at the lowest level when the patient is sleeping. 4. Placing the overbed table across the wheelchair when the patient is seated.
The nurse is caring for an African American patient who has a serum bilirubin of 6 mg/100 mL. Which body area should be used as the best way to assess skin color changes in this patient?
A. Fingernails B. Skin of the inner arms C. Palms of the hands D. Sclera
Which of the following is a reason why silence is considered therapeutic?
A) It demonstrates concern or affection. B) It communicates caring and support. C) It encourages a client's verbal communication. D) It is therapeutic when a client is uncomfortable.
The informatics nurse is highlighting how the health information system supports knowledge. Which standardized nomenclature is an example of textual knowledge for concepts in nursing?
A) HIS B) CMS C) NIH D) NIC