The nurse instructs the patient to be diligent in cleaning fecal matter from around the stoma because the fecal matter can cause (select all that apply):
1. fungal infection.
2. bacterial infection.
3. yeast infection.
4. deterioration of the stoma.
5. odor.
1, 2, 3, 5
Fecal matter left on the skin and trapped under the pouch can cause fungal, bacterial, and yeast infections as well as odor.
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A nursing supervisor has been told to ensure that the hospital's new electronic records system is properly implemented on the nursing unit. Which actions by the supervisor are the best use of exercising the managerial role?
Select all that apply. A) Creating a "buddy" system that pairs staff members who are less technologically comfortable with staff members who may require more assistance with the new system B) Providing regular training sessions in the new system C) Informing staff that the new system is optional D) Establishing a regular spot check of each staff member's effective use of the system E) Continuing to use paper records until the staff is completely comfortable with the new system
The nurse has called the client at home to perform some preoperative teaching prior to the client's admission to the hospital for an ileostomy due to severe ulcerative colitis
Which of the below will the nurse review with the client to prevent postoperative infection? a. clear liquid diet 2-3 days prior to OR b. oral osmotic lavages to cleanse bowel c. laxatives to cleanse bowel d. nonabsorbable antiobiotics e. soft diet 2-3 days before surgery f. sitz bath three times a day
Compared to a nursing care plan, a clinical pathway (select all that apply)
A. is multidisciplinary. B. follows the client at specified time intervals. C. is used for routine, noncomplex client diagnoses. D. uses variance to examine the sequencing of care. E. uses variance data as part of continuous quality improvement (CQI). F. focuses on nursing goals.
A patient, in the intensive care unit, has been NPO for several days. The nurse is unable to assess bowel sounds. Which of the following should be included in this patient's plan to support nutritional needs?
1. maintain NPO status 2. determine best enteral feeding approach and plan implementation 3. prepare to assist with implementation of a large bore venous access device to support total parenteral nutrition 4. begin oral feeding with a diet as tolerated as soon as bowel sounds return