The 1-day postoperative ileostomy patient is concerned about the fact that no drainage has occurred from the ileostomy. What should the nurse remind the patient? (Select all that apply.)
a. The drainage does not start until approx-imately 24 to 48 hours after surgery.
b. The first drainage will have blood in it.
c. Mucus will be obvious in the early drai-nage.
d. The first drainage is expelled with a great deal of force.
e. A large amount of flatus will accompany the first drainage.
A, B, C
Drainage does not begin because of the empty bowel before surgery. The first drainage appears 24 to 48 hours after surgery and is accompanied by small amounts of blood and mucus from the bowel. The first drainage is expelled with low pressure and very little, if any, gas.
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The nurse knows that during non-rapid eye movement (NREM) sleep, the following occur: (Select all that apply.)
a. Repair of brain cells b. Slow rhythmic scanning eye movements c. Dreaming d. Cell division in bone marrow e. Conservation of energy
Under managed care, how are the client and family likely to view the experience of hospitalization?
a. As an unpleasant interruption of daily life b. Too short to produce complete wellness c. Too restrictive to help with adjustment to the community d. A pleasant vacation from the pressures of life in the community
When assessing the adult heart, the nurse expects to hear which heart sounds?
1. S1, then S2 2. S2, then S3 3. S3, then S4 4. S2, then S1
Known risk factors for lymphedema include all of the following except
A. Osteoarthritis B. Rheumatoid arthritis C. Obesity D. Venous ulcer disease