The nurse cares for a female Asian patient on the fourth postoperative day after an ileostomy. The patient tells the nurse that she doesn't think she can cope and refuses to look at the ileostomy
What approach by the nurse would be most helpful in this situation? a. Explore with the patient exactly what her concerns are.
b. Tell her when she can start wearing regular clothing.
c. Tell the patient that most patients have these feelings.
d. Ensure that only female caregivers are assigned to her.
A
The nurse needs to find out the patient's deepest concerns and find support for her. Assuring the patient that others have felt the same way ignores her feelings and concerns. A discussion about appropriate clothing does not address the patient's deeper concerns. It is essential that only a fe-male caregiver be assigned to this patient, but this alone will not help her adapt to the change in her body.
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