A patient with an ostomy asks the nurse what limitations should be observed in the immediate postoperative period when at home. What is the most informative information that the nurse should share?
a. Avoid heavy lifting for at least 3 months.
b. Limit fluid intake to no more than 1000 mL/day.
c. Wear loose clothing without belts or elas-tic.
d. Cover your appliance with plastic sheeting while showering.
A
Avoiding heavy lifting for 3 months is advised. People with ostomies should take in at least 2000 mL of fluid every day. They may wear ordinary clothes that do not bind the stoma. Showering is allowed because the appliance is waterproof.
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The overall temperature in your gerontological unit is 62° F during the evening shift. In documenting this concern to the administration, which factor is the most important for the health and well-being of older adults?
a. It is not fair for older adults to have to deal with an uncomfortable environment. b. Some of the residents are wearing blankets around their shoulders to keep warm. c. An ambient temperature of 62° F is un-suitable for older people because they have impaired thermoregulation. d. It feels much warmer in the administration wing than out in the patient care areas.
A 24-year-old woman has gone to the OB-GYN clinic for her first visit since she found out she was pregnant. The clinician tested her blood type along with the usual prenatal testing. On a follow-up visit, the woman was told that she is Rh negative
When asked what that means for her baby, the nurse explains that Rh-negative women lack RhD antigens on their erythrocytes but produce anti-D antibodies. As a result of this blood type, A) "If you and your baby have mismatched blood, it can invoke anaphylaxis in the baby." B) "If the types are incompatible, severe antibody-mediated inflammation occurs." C) "If blood types do not match, the baby's liver will produce extra cells to replace RBCs needed to oxygenate organs." D) "If the fetus is Rh positive, maternal anti-D antibodies can coat fetal RBCs resulting in severe anemia."
Prior to conducting the initial assessment of a newborn, the nurse reviews the mother's prenatal record and the delivery record to obtain information concerning possible risk factors for the infant and to anticipate the impact of these factors
on the infant's ability to successfully transition to the extrauterine environment. Which information is pertinent to this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Drug or alcohol use by the father 2. Infectious disease screening results 3. Maternal history of gestational diabetes 4. Prolonged rupture of the membranes 5. Maternal use of prenatal vitamins
What is most important for the nurse to do when providing care to a client who has had a transurethral resection of the prostate?
A. Maintain patience off the cystostomy tube B. Ensure latency of the indwelling catheter C. Keep the abdominal dressing clean and dry D. Observe the wound for hemorrhage and infection