The nurse evaluates the effluent from the patient's new ileostomy. What does the nurse expect the effluent to look like immediately after surgery?
a. Formed stool
b. Stool that is like thick liquid
c. Watery stool
d. Semi-formed stool
C
Stool from an ileostomy can range from thin to thick liquid. Since no food is present, the effluent would be watery. Formed and semi-formed stool is more consistent with colostomy stool. The normal ileostomy stool when food is present is the consistency of a thickened liquid because there is a lot of water in the effluent since most water absorption occurs in the large intestine.
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The nurse recognizes that the patient receiving mechanical ventilation also receives humidification of the airway which is important because it:
A) Reduces the risk for atelectasis B) Leads to an increased cough reflex C) Dilates the bronchioles D) Liquefies secretions
When you apply theory learned in your medical-surgical nursing class in a caring manner to your patient, what kind of power do you use?
1. Expert power 2. Positive power 3. Referent power 4. Information power
The nurse is aware that the plague, caused by Yersinia pestis, will most probably be introduced as an aerosolized weapon in a terrorist attack
Although exposed individuals can die in 24 hours, the organism is very vulnerable and can be destroyed by: a. cold temperatures of 40° F. b. exposure to sunlight. c. strong chlorine solution. d. dry environment.
The nurse suspects a client is hypersensitive to a vaccine just administered. Nursing management of an allergic response includes immediate assessment of the:
A) dose of medication taken by the client. B) skin to check for urticaria. C) injection site for signs and symptoms of the inflammatory response. D) respirations to determine airway patency.