A client underwent the first stage of a restorative proctocolectomy with ileo-anal anastomosis (RPC-IPAA). What topic is a high priority for the nurse to teach?
a. Perineal care
b. Ostomy care
c. Nutrition therapy
d. Relaxation techniques
B
In the first stage of the RPC-IPAA procedure, the temporary ileostomy is created. Because the effluent is caustic, severe skin irritation can occur. The client needs good instruction on ostomy care and comfort measures. Perineal care is not needed because stool drains through the ostomy. Nutrition therapy and relaxation techniques are not as high a priority as preventing skin damage.
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A mother calls the pediatrician's office because her infant is "colicky." What is the most helpful measure the nurse can suggest to the mother?
a. Sing songs to the infant in a soft voice. b. Place the infant in a well-lit room. c. Walk around and massage the infant's back. d. Rock the fussy infant slowly and gently.
A school nurse suggests to teachers that they have a session on coping strategies and stress management techniques. The nurse also sets up a peer counseling program. Which of the following is the school nurse most likely trying to prevent?
a. Adolescent suicides b. Bullying c. Obesity d. Teenagers engaging in violence
A community health nurse is conducting a home visit to a male patient who has Parkinson's disease (PD). The nurse has been working closely with the patient and his wife to prevent the many possible complications of the disease
What recommendation should the nurse make to improve nutrition? A) Have the patient drink nutritional supplements in lieu of solid food B) Replace complex carbohydrates with simple carbohydrates C) Allot a large amount of time for each meal of the day D) Have the patient drink fluids before and after meals but not during meals
The nurse begins a prenatal assessment on a 25-year-old primigravida at 20 weeks' gestation and immediately contacts the healthcare provider because of which finding?
1. Pulse 88/minute 2. Respirations 30/minute 3. Temperature 37.4° C (99.3° F) 4. Blood pressure 134/82