A client with colon cancer has surgery with a colostomy. Which assessments indicate to the nurse that the client is developing postoperative complications? (Select all that apply.)
a. Urine output > 30 mL/hr
b. Dusky appearance of the stoma
c. Stoma protrusion from the skin
d. Small amount of blood-tinged liquid stool in colostomy bag
e. Edema of the stoma during the first 24 hours post-operation
f. Sharp abdominal pain
B, C, F
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All of the following contribute to disturbed or interrupted sleep except
a. Alcohol b. Activity c. Sedentary lifestyle d. Tobacco
A 16-year-old patient in an outpatient setting with a body mass index of 35 tells the nurse, "I am going to lose weight by eliminating all fat from my diet." Which action should the nurse take first?
1. Contact the physician. 2. Notify the patient's parents. 3. Refer the patient to a dietitian. 4. Discuss the role of fat in metabolism.
The nurse is caring for a client who is experiencing inflammation. Which symptoms would the nurse expect to find upon assessment? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Itching 2. Redness 3. Pain 4. Swelling 5. Hyperglycemia
One of the nurse manager's staff members is always complaining about his assignment. The manager should:
A) use nonverbal behaviors to modify his behavior. B) use assertive communication skills to confront the issue. C) let him make out his own assignments. D) ask his or her supervisor to talk to him about his attitude.