A nurse cares for a teenage girl with a new ileostomy. The client states, "I cannot go to prom with an ostomy." How should the nurse respond?
a. "Sure you can. Purchase a prom dress one size larger to hide the ostomy appliance."
b. "The pouch won't be as noticeable if you avoid broccoli and carbonated drinks prior to the prom."
c. "Let's talk to the enterostomal therapist about options for ostomy supplies and dress styles."
d. "You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable."
ANS: C
The ostomy nurse is a valuable resource for clients, providing suggestions for supplies and methods to manage the ostomy. A larger dress size will not necessarily help hide the ostomy appliance. Avoiding broccoli and carbonated drinks does not offer reassurance for the client. Ileostomies have an almost constant liquid effluent, so pouch removal during the prom is not feasible.
You might also like to view...
The wife of an older client is concerned that her husband has recently experienced memory lapses, is unusually aggressive and was involved in three traffic accidents in the past month
In planning a response, the nurse is guided by the knowledge that: 1. Further intervention is needed to prevent elder abuse of the wife. 2. Further assessment is needed to determine if alcohol abuse is possible. 3. These are normal responses to aging. 4. These are signs of depression or dementia.
A patient on the medical unit has told the nurse that he is experiencing significant dyspnea, despite that he has not recently performed any physical activity
What assessment question should the nurse ask the patient while preparing to perform a physical assessment? A) "On a scale from 1 to 10, how bad would rate your shortness of breath?" B) "When was the last time you ate or drank anything?" C) "Are you feeling any nausea along with your shortness of breath?" D) "Do you think that some medication might help you catch your breath?"
During the final weeks of pregnancy, urinary frequency may return due to the enlarged uterus, compressing the bladder against the pelvic bones. What does the nurse suggest to aid in relieving the urinary frequency?
a. Decrease fluid intake b. Use the knee-chest position c. Sleep on her side d. Avoid fluid intake in evening
A 34-year-old patient was treated for a urinary tract infection (UTI) and has not responded to antibiotic therapy. Which of the following actions should be taken next?
a. Send a urine specimen for microscopy looking for fungal colonies. b. Increase the dose of antibiotic. c. Order a cytoscopy. d. Order a different antibiotic.