The 1-day postoperative ileostomy patient is concerned about the fact that there has been no drainage from the ileostomy. The nurse reminds the patient that (select all that apply):
1. the drainage does not start until about 24 to 48 hours postsurgery.
2. the first drainage will have blood in it.
3. mucus will be obvious in the early drainage.
4. the first drainage is expelled with a great deal of force.
5. a large amount of flatus will accompany the first drainage.
1, 2, 3
Drainage does not begin because of the empty bowel prior to surgery. The first drainage appears 24 to 48 hours postsurgery and is accompanied by small amounts of blood and mu-cus from the bowel. The first drainage is expelled with low pressure and very little, if any, gas.
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When performing an assessment of a child with recurrent abdominal pain (RAP), the nurse recognizes the child will most likely experience:
a. increased temperature. b. constipation. c. right quadrant pain. d. exercise-associated pain.
The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH). Which items in the client's health history may have contributed to this diagnosis?
Select all that apply. A) Excessive exercise B) Diet high in meat and fats C) Diet high in milk D) 70 years of age E) African-American ethnicity
Clients with malaria are only found in tropical regions
Indicate whether the statement is true or false.
A nurse who is a traditional Chinese medicine practitioner is providing home care to a patient who also uses traditional Chinese medicine for healthcare. What specific assessments would the nurse make?
A) tongue and pulses C) muscle tone and cranial nerves B) abdominal muscles and respirations D) vision and hearing