A baby born without a urinary bladder has a cutaneous ureterostomy with one stoma and a cutaneous ureterostomy has been surgically created. There is one stoma
Discussion with the child's family regarding care should include which of the following? 1. "This urinary diversion is permanent and urine will drain from it continuously."
2. "In the future, there will be a second surgery to offer an exit for the urine from the other kidney."
3. "This pouch needs to be changed only about once a week."
4. "You should notify the surgeon if the stoma becomes paler in color."
1
The baby's ureterostomy and drainage of urine are constant. This is a permanent solution because of the lack of a bladder. Both ureters are joined for urine release through the stoma. The pouch will be on continuously and needs to be changed as needed several times a day.
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A diabetic nurse educator teaches according to the principles of the cone of experience theory
Which activity planned by this nurse would best demonstrate the concepts in the theory when teaching a patient with diabetes to self-administer insulin injections? a. Demonstrate and then allow plenty of practice and return demonstrations. b. Find out the client's motivating factors and design rewards that fit these motivators. c. Identify the learning styles of individual clients and tailor teaching to his or her style. d. Use teaching styles that stimulate all five senses, limiting environmental distractions.
The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following? The manager:
a. Is a counselor and friend to the employee. b. Should reprimand and suspend the em-ployee as a last resort. c. Should rehire the employee after a rea-sonable length of time. d. Should terminate the employee if the problem persists.
Advocacy is an important part of nursing today. As an LPN/LVN, this is included as part of what nurses do
a. What is the function in terms of advocacy as an LPN/LVN with a client?
Which of the following is not part of the criteria to determine Meaningful Use?
A. Engaging patients and families B. Reducing health disparities C. Improving care coordination D. Increasing litigation victories