A child on chemotherapy has developed rectal ulcers. What interventions should the nurse teach to the child and parents to relieve the discomfort of rectal ulcers? (Select all that apply.)
a. Warm sitz baths
b. Use of stool softeners
c. Record bowel movements
d. Use of an opioid for discomfort
e. Occlusive ointment applied to the area
ANS: A, B, C, E
If rectal ulcers develop, meticulous toilet hygiene, warm sitz baths after each bowel movement, and an occlusive ointment applied to the ulcerated area promote healing; the use of stool softeners is necessary to prevent further discomfort. Parents should record bowel movements because the child may voluntarily avoid defecation to prevent discomfort. Opioids would cause increased constipation.
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The nurse is providing discharge education to her patient with diabetes regarding foot care. Which of the following statements by the patient indicates a need for further education?
a. "I can go barefoot outside only in the summer." b. "I should wear good fitting shoes." c. "I cannot soak my feet in a hot tub." d. "I can use lotion on my feet."
A nurse instructing a group of parents about injury prevention should inform the group that the leading cause of injury and death of infants and young children is:
a. accidents. b. child abuse. c. drug abuse. d. adolescent parents.
What does the filing of a grievance by an employee do?
A) Serves as evidence that a manager's actions have been unfair or arbitrary B) Means that the conflict will have to be resolved in arbitration C) Negates the need for the manager to attempt to solve the conflict through communication, negotiation, compromise, or collaboration D) Often extracts a great deal of time and energy from both the employee and the manager
A client scheduled for elective cesarean birth in 4 hours asks for a sip of coffee with creamer. How should the nurse respond?
1. "You can drink black coffee." 2. "You may have coffee with creamer." 3. "You are only allowed to drink water right now." 4. "Since you are having surgery today, you're not allowed to have anything to eat or drink."