Which information will the nurse include in teaching a patient who had a proctocolectomy and ileostomy for ulcerative colitis?
a. Restrict fluid intake to prevent constant liquid drainage from the stoma.
b. Use care when eating high-fiber foods to avoid obstruction of the ileum.
c. Irrigate the ileostomy daily to avoid having to wear a drainage appliance.
d. Change the pouch every day to prevent leakage of contents onto the skin.
b. Use care when eating high-fiber foods to avoid obstruction of the ileum.
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Documentation in a patient's record shows: During 5-minute interaction, patient fidgeted, tapped foot, periodically covered face with hands, looked under chair. Stated, "I enjoy spending time with you." Which assessment is most accurate?
a. The patient gave positive feedback about the nurse's communication techniques. b. The nurse is viewing the patient's behavior through a cultural filter. c. The patient's verbal and nonverbal messages were incongruent. d. Psychotic thought processes are likely.
A nurse is caring for a patient who is receiving a salicylate for pain relief. The nurse would assess the client for which of the following suggesting salicylism?
A) Constipation B) Bradycardia C) Sleeplessness D) Flushing
The nurse received report from a previous shift. One of her clients was reported to have a history of basilar skull fracture with otorrhea. What assessment finding does the nurse anticipate?
A) The client has cerebral spinal fluid (CSF) leaking from the ear. B) The client has ecchymosis in the periorbital region. C) The client has an elevated temperature. D) The client has serous drainage from the nose.
Which clinical technique for administering anesthesia is common for pregnant women during labor and delivery?
1. Nerve block 2. Topical 3. Infiltration 4. Epidural