Which is the best nursing strategy for encouraging an ostomy patient to perform self-care?
a. Plan to change the pouch when family members will be present, and have the patient watch and listen to the procedure.
b. Frequently tell the patient that if he or she does not learn stoma self-care, no one is going to do it for him or her.
c. Encourage the patient to watch the stoma care procedure, gradually encouraging participation.
d. Shield the patient from sight of the stoma until the patient actually asks to see it.
C
The goal for teaching patients with ostomies is to assist them to care for themselves without pressure or forcing.
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An older client is experiencing symptoms that the client feels are associated with aging. The client says that the symptoms are similar to those of a friend who has diabetes mellitus but the client is not thirsty
What should the nurse respond to the client? 1. "Older clients do not get diabetes." 2. "Thirst is diminished in the older client." 3. "The best indication of diabetes mellitus is urinary incontinence in the older client." 4. "Do you have blurred vision?"
A head nurse puts a blank copy of the shift duty schedule on the table in the break room. The staff is permitted to fill in the shifts that they want to work during the next cycle. What leader-ship style does this reflect?
a. Autocratic b. Democratic c. Laissez-faire d. Participative
The nurse is assessing a patient suspected of having developed acute glomerulonephritis. The nurse should expect to address what clinical manifestation that is characteristic of this health problem?
A) Hematuria B) Precipitous decrease in serum creatinine levels C) Hypotension unresolved by fluid administration D) Glucosuria
A nurse has been assigned a new client who cannot speak English. To ensure that the client receives accurate information, the nurse should:
A) Have a member of the housekeeping staff who speaks the same language translate. B) Make sure a family member who does speak English is available. C) Use the translation services supplied by the hospital. D) Conduct the interview using hand gestures.