The colostomy patient is instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch because:

1. the stoma will shrink during this time.
2. a poor-fitting pouch will cause infection of the stoma.
3. the paste will not adhere.
4. prolapse will result.


1
During the first 6 weeks, the stoma normally shrinks. The pouch needs to fit as closely to the stoma as is comfortable and safe to prevent skin irritation.

Nursing

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An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode ("tet" spell). Which nursing interventions should the nurse implement? Standard Text: Select all that apply

1. Administer oxygen. 2. Place the child in knee-chest position. 3. Administer morphine and propranolol intravenously as ordered. 4. Draw blood for a serum hemoglobin. 5. Administer Benadryl as ordered.

Nursing

The nurse is conducting a class in the community regarding alcohol use to a group of college seniors. During the class a participant admits to frequently using alcohol. Which is the priority action of the nurse?

A) Initiate a community assessment of the campus. B) Contact the campus nurse and refer the student. C) Notify campus security to watch for driving under the influence. D) Complete a crisis assessment.

Nursing

A psychoeducational session will discuss medication management for a culturally diverse group of patients. Group participants are predominantly members of minority cultures. Of the four staff nurses below, which nurse should lead this group?

a. Very young registered nurse b. Older, mature registered nurse c. Newly licensed registered nurse d. A registered nurse who is very thin

Nursing

An additional placental lobe is defined as

A. Placenta previa B. Succenturiate lobe (SL) C. Velamentous insertion

Nursing