The nurse knows that the ideal time to change an ostomy pouch is
a. Before eating a meal, when the patient is comfortable.
b. When the patient feels that he needs to have a bowel movement.
c. When ordered in the patient's chart.
d. After the patient has ambulated the length of the hallway.
A
The nurse wants to change the ostomy appliance when as little output as necessary ensures a smooth procedure. Patients with ostomies do not feel the urge to defecate because the sensory portion of the anus is not stimulated. Changing the ostomy pouch is a nursing judgment decision. After a patient ambulates, stool output is increased.
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A nurse manager does not like conflict and would like to allow instances of bullying to "go away on their own." What rationale by the manager's supervisor is the most important?
1. "The Joint Commission requires that we address instances of bullying." 2. "We don't want to run off good nurses." 3. "If you let bullying go, it just gets worse and more frequent." 4. "A bully makes the work environment unpleasant for everyone."
The nurse is concerned that a patient with HIV who has been taking the protease inhibitor ritonavir (Norvir) is developing lipodystrophy. What did the nurse assess to come to this conclusion? (Select all that apply.)
1. Skin rash 2. Thin arms 3. Sunken cheeks 4. Emaciated legs 5. Enlarged abdomen
The nurse providing education at a community forum on obesity and heart disease informs the group that "obese" is described as a body mass index greater than
a. 15 kg/m2. b. 20 kg/m2. c. 25 kg/m2. d. 30 kg/m2.
When is a needle stick injury most likely to occur when using an implanted port VAD?
A. During placement of the port B. During skin preparation before accessing the port C. When accessing the port with a Huber needle D. When removing the Huber needle from the septum of the port