The nurse explains that the advantage of the Kock pouch ileostomy is that the patient:
a. can expel feces from the rectum in the normal fashion.
b. does not have to wear a collection device.
c. only has to evacuate the pouch once a day.
d. can have the pouch reanastomosed to the colon at a later time.
B
The major advantage of the Kock pouch is that the patient does not have to wear a collection de-vice. The feces are collected in the pouch and emptied by the patient inserting a catheter into the pouch every 3 or 4 hours.
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A woman is scheduled for an anterior and posterior culporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include?
A) "This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position." B) "Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder." C) "This is a series of exercises that you will learn how to do so that you can strengthen your bladder muscles." D) "These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position."
Your patient with a cervical herniated disc presents with a weakened biceps reflex. The biceps reflex is a test of the following spinal nerves:
A. C3 to C4 B. C4 to C5 C. C5 to C6 D. C7 to T1
The nurse needs to help set goals and outcomes with a client who is experiencing difficulty keeping up with everyday tasks. Which of the following would be an appropriate SMART outcome?
A) The client will independently prepare daily schedules, including tasks and appointments, after 1 month. B) The client will organize and list responsibilities of home, work, school, and children. C) The client will prepare general schedules based on priorities and responsibilities. D) The client will prepare individual daily schedules with daily tasks and appointments.
Karyn is a 42-year-old woman who has been diagnosed with major depression. Which of the following sleep disorders is most likely to coincide with depressive disorders?
A) Insomnia B) Narcolepsy C) Sleep apnea D) Parasomnias