A nurse is caring for a client who is postoperative Day 1 for a temporary colostomy. The nurse assesses no feces in the collection bag. What should the nurse do next?
A) Notify the physician immediately.
B) Ask another nurse to check her findings.
C) Nothing; this is normal.
D) Recheck the bag in two hours.
Ans: C
Typically, a colostomy does not produce drainage or feces until normal peristalsis returns after surgery, usually within two to five days.
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Which of the following indicate purely negative sources of conflict within an organization? Select all that apply
1. The unit has Generation Xers and Baby Boomers working on the same shifts. 2. Two unit groups are in direct opposition to each other. 3. A nearby hospital is beginning a new service in direct competition with the organization. 4. An environment of ?don?t ask, don?t tell? exists within the organization. 5. A night shift nurse frequently checks e-mail and asks others to check on clients.
Which of the following best describes when case management is implemented for hospitalized patients?
a. Immediately on admission b. Immediately on discharge c. When a nurse recognizes the need and makes the appropriate referral d. When the patient is assigned a case manager
Which of the following pieces of information is included in the client database?
A) Nursing care B) Diagnostic studies C) Plan of care D) Collaborative problems
The clinic nurse is compiling informational data for a yearly report. Which of the following clients would be classified as a primigravida?
1. A client at 18 weeks' gestation who had a spontaneous loss at 12 weeks 2. A client at 13 weeks' gestation who had an ectopic pregnancy at 8 weeks 3. A client at 14 weeks' gestation who has a 3-year-old daughter at home 4. A client at 15 weeks' gestation who has never been pregnant before