A patient with a colostomy continues to worry about odor. What instruction should a nurse provide to allay this concern?
a. Pierce the top of the appliance bag with a pin to allow gas to escape.
b. Rinse the pouch in a vinegar solution.
c. Wear tight-fitting underwear.
d. Improve personal hygiene.
B
The problem of odor is a frequent cause of anxiety to patients with colostomies. Rinsing the bag with a vinegar solution or putting a small amount of vinegar in the bag is helpful in odor control. Piercing the bag allows gas to escape more easily, and wearing tight fitting clothing does nothing to alleviate odor. Personal hygiene is not a consideration in controlling the odor of feces.
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The nurse plans activities for older women born between 1920 and 1930 and who reside in an assisted-living facility. Which is the best intervention for the nurse to implement?
a. Have them bake cookies twice a week. b. Conduct interviews for specific interests. c. Arrange dog and cat visits from volun-teers. d. Take them to the library for guest speak-ers.
The nurse is assessing a patient admitted with AIDS who is taking a nonnucleoside reverse transcriptase inhibitor. What nursing diagnosis is most likely to be appropriate for this patient?
A) Risk for injury related to central nervous system (CNS) effects of the drug B) Excess fluid volume related to renal failure C) Imbalanced nutrition: Less than body requirements, related to gastrointestinal (GI) effects of the drugs D) Ineffective health maintenance related to spiritual distress
A study that focused on the meaning of sacrifice among wounded military personnel during war time would likely use which of the following?
A) A descriptive phenomenological approach B) A grounded theory approach C) An ethnography D) A hermeneutic approach
The skill that will be most helpful to an LPN/LVN in navigating health care system changes successfully is
a. the ability to work efficiently for long hours. b. problem-solving and critical thinking abilities. c. identifying the need for comprehensive system change. d. becoming knowledgeable about CQI processes.