Which assessment of the stoma should a nurse caring for a 2-day postoperative colostomy patient report immediately?
a. Is beefy and red
b. Has swelling
c. Has a small amount of bleeding around it
d. Is blue tinged
D
A stoma should be beefy red. Blue or black coloration is an indication of poor circulation and should be reported immediately. Swelling and a small amount of blood around the stoma are normal in early postoperative days.
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Which statement indicates the psychiatric–mental health nurse understands the basic principles of symbolic interactionism in working with clients?
1. "Clients with mental disorders are unlikely to understand the personal meaning of their experiences." 2. "I try to avoid interventions that ignore the personal meaning of experiences to my clients." 3. "Clients with altered brain chemistry need frequent reassurance that they should not worry about their condition." 4. "After my first year of working in mental health, I was able to develop standardized interventions for clients with the same diagnoses."
An RN has worked in labor and delivery for 15 years with a total RN staff. The nurse is presently an associate nurse manager of a busy postpartum unit and has RNs and UAPs
What should the nurse consider when making assignments to members of the health-care team? A. Length of service B. Scope of practice C. Ability to perform the task D. Job title
A client has had a cylinder cast applied to her tibia after suffering a fracture during a soccer game. What is the primary purpose of a cast?
A) To maintain constant tension on injured bones to promote healing B) To temporarily reduce the weight-bearing ability of the injured limb C) To preserve the neurovascular function of the injured limb D) To immobilize injured bones to facilitate reunion
The nurse has assessed that prolonged and unrelieved pain will:
1. release endorphins. 2. lower the pain threshold. 3. stimulate gate control. 4. lower the blood pressure.