A patient who has a urostomy is being discharged to home. Which instruction will the nurse to provide to the patient?

a. Restrict fluid intake to reduce urine output.
b. Report any mucus in his urine.
c. Keep unused pouches in the refrigerator.
d. Shower without covering the pouch.


D
The patient may shower without covering the pouch. Teach patients the significance and importance of drinking 1.5 to 2 quarts of fluid daily to prevent urinary tract infection. Patients should avoid storing pouches in extremely hot or cold locations like the refrigerator. Teach patients that some mucus in the urine is expected, but that they should report to their physician any blood in the urine, excessively cloudy urine, chills, fever (101??F or higher), or back (flank) pain.

Nursing

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The nurse is reviewing a care plan for a patient diagnosed with attention deficit hyperactivity disorder (ADHD) who is receiving stimulant medication. The nurse would expect to find which priority medication outcome for this client?

A) Increased attention on homework B) Ability to tolerate overnight separation periods C) Decreased somatic complaints D) Remains free of self-harm

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The nurse in the long-term-care clinic is reviewing the charts of a group of children with chronic physical,

psychological,functional and/or social limitations. The nurse recognizes that chronic limitations may result from which of the following? (Select all that apply.) 1. Near drowning 2. Congenital heart defect 3. Pneumonia from hemophilusinfluenzae virusFetal insult when the mothercontracted rubella in the first trimester of pregnancy 5. Sepsis contracted as a neonate

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A newborn is being discharged at age 48 hours. The parents ask how the newborn should be bathed this first week home. The nurse's best recommendation is to bathe the newborn:

a. daily with mild soap. b. daily with an alkaline soap. c. two or three times this week with plain water. d. two or three times this week with mild soap.

Nursing

A patient asks about options to treat a malignant melanoma lesion on her arm. How should the nurse respond to this patient?

A. "The preferred method of treatment is to remove all the cancer surgically." B. "You will receive radiation to the skin lesion as a first method of treatment." C. "You will receive intravenous chemotherapy as a first method of treatment" D. "An anti-cancer cream will be used to dissolve the lesion."

Nursing