The nurse prepares to change a client's fecal ostomy pouch. Which assessments regarding the stoma are priority? Select all that apply.
A. Skin around the stoma.
B. Location of the stoma.
C. Appearance of the stoma.
D. Date of stoma placement.
E. Complications during placement of stoma.
Answer: C
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As a manager, the nurse must make decisions based on the guidelines of regulatory and certifying agencies. In addition to those regulatory bodies, what must also be considered when delivering care to patients?
a. Moral decision making by patient and family b. Economics of the environment c. Infection rates for subset of patients d. Personality of unit secretary e. Decisions of payor regarding reimbursements
Identify the situation in which a nurse would likely be charged with negligence
a. Slapping a client across the face for using foul language b. Leaving the side rails down on a bed of a confused client c. Using restraints on a client without a doc-tor's order d. Telling the local newspaper of a client's diagnosis
A client has scabies and will be using permethrin 5% cream (Elimite). What is the best instruction by the nurse?
1. "Leave the medication on the body for 24 hours." 2. "Apply the medication twice, so it can be more effective." 3. "Apply the medication topically to the affected area." 4. "Leave the medication on the body for 8–14 hours."
A postoperative patient is diagnosed with fluid volume overload. What should the nurse expect to assess in this patient?
A. Poor skin turgor B. Concentrated hemoglobin and hematocrit levels C. Decreased urine output D. Distended neck veins