What is caused by some adhesive pouch material used to hold the appliance in place?
a. Melting of the pouch
b. Excoriation of the stoma
c. Allergic reaction
d. Unpleasant odor
C
Pouch adhesives can cause allergic reactions, but they do not melt the pouch or cause odor. Be-cause the paste is not in contact with the stoma, it does not affect it.
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A client is suspected of having meningitis. For which test should the nurse prepare this client?
1. Lumbar puncture 2. CBC 3. Head x-ray 4. Doppler study of the head
A patient with hearing loss is being evaluated to determine whether the loss is sensorineural or conductive. Which of the following Weber's test results indicates the presence of a sensorineural loss?
A) The sound is heard better in the ear in which he has better hearing. B) The sound is heard equally in both ears. C) The sound is heard better in the ear in which he has poorer hearing. D) The sound is heard longer in the ear in which he has better hearing.
The nurse notes on the surgical schedule that a patient is scheduled for cranial burr holes. For which health problems does the nurse realize this type of surgical approach is indicated?
Select all that apply. 1. Ischemic stroke 2. Migraine headache 3. Epidural hematoma 4. Hemorrhagic stroke 5. Acute subdural hematoma
The nurse is preparing to assess the lungs of an older adult. Which findings should the nurse anticipate? Select all that apply.
A. Percussed hyperresonance. B. Slightly decreased respiratory rate. C. Shallow respiratory cycle. D. Slight substernal retractions. E. Less audible breath sounds.