What is the very first step in teaching a client ostomy care?
a. foods to prevent blockages
b. daily care of the ostomy
c. an assessment of ability for self care
d. type of effluent expected
C
Prior to discharge the client receives teaching on how to change the appliance, normal stoma appearance, care of peristomal skin and irritations, how to empty and perform daily care of the pouch, expected type of effluent based on stoma location, and foods to avoid to prevent excessive gas, odor, or blockage. It is important to first note the client's ability to perform self care. Involve the family or caregiver in care especially if client is not ready or able to learn or has special needs or conditions (such as blindness, deafness, language barrier, severe arthritis or other disabilities) that limit ability to perform self-care.
You might also like to view...
Holistic gerontological care means helping older individuals achieve a sense of wholeness. How can gerontological nurses best help older individuals achieve this wholeness?
A) Guiding them in understanding and finding meaning and purpose in life B) Doing as much for them as possible C) Eliminating many of their chronic diseases and effects of advanced age D) Facilitating harmony of all their body systems
A patient is admitted with symptoms of alcohol withdrawal. Which intervention is the highest priority for this patient?
1. Encourage verbalization of feelings. 2. Support respiratory and cardiac status. 3. Keep the room dimly lit. 4. Encourage taking fluids by mouth.
For patients with congestive heart failure, nutrition therapy focuses on
a. restriction of dietary sodium intake. b. abstinence from alcoholic beverages. c. achievement and maintenance of a healthy weight. d. restriction of dietary saturated fats and cholesterol.
A systematic review of the research regarding nursing interventions for smoking cessation suggests that it is most effective when a nurse:
A. is familiar with the patient. B. is not too direct with the patient regarding smoking. C. is an ex-smoker. D. takes a main role of health promotion or smoking cessation.