A client is preparing to have colorectal surgery and will have a colostomy created temporarily in hopes that he may be able to have it reversed in 6 months. The client is very concerned about the care of the colostomy
What preoperative interaction would the client benefit from? A) Discussing other options with the surgeon
B) Meeting with an enterostomal therapist
C) Going to a support group with other clients that have colostomies
D) Watching a video about colostomies
B
Feedback:
Clients benefit from preoperative interactions with a specially certified nurse, referred to as an enterostomal therapy nurse; enterostomal therapist; or wound, ostomy, and continent nurse. This nurse assists with marking placement of the stoma and collaborates with the surgeon regarding placement and the client's educational needs. Other options may not be available for this client, especially if there is a tumor present. Going to a support group would be a good option in the postoperative management because the client should be given information from the professional prior to going to surgery. Watching the video with the therapist and having the option to answer questions would be a better choice than watching it alone.
You might also like to view...
The nurse is preparing to measure fat and lean body mass and bone mineral density. Which tool is appropriate?
a. Measuring tape b. Skinfold calipers c. Bioelectrical impedance analysis (BIA) d. Dual-energy x-ray absorptiometry (DEXA)
The nurse is giving discharge instructions to the mother of a 3-month-old infant who has an upper respiratory tract infection and has been prescribed a pseudoephedrine nasal solution
What instructions are most important for the nurse to give to this mother? A) Instill the medication 20 to 30 minutes before feeding. B) Keep the baby on clear liquids until the nasal discharge has resolved. C) Start the baby on cereal, because she is having difficulty sucking right now. D) Give the medication immediately after feeding.
What could suddenly occur in a child with acute epiglottitis?
a. Increased carbon dioxide levels b. Airway obstruction c. Inability to swallow d. Bronchial collapse
The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this medication?
A. Monitor the client for relief of bronchospasms. B. Monitor the client for nausea and headache. C. Monitor the client's serum drug levels. D. Provide the client with age-appropriate education about albuterol (Proventil).