The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma
If redness occurs, which of the following would be most appropriate to promote healing and prevent further skin breakdown? A) Clean the area well with a scented diaper wipe.
B) Apply a barrier/healing cream or paste on the skin.
C) Use a barrier wafer (such as Stomahesive) to attach the appliance.
D) Sanitize the area with an alcohol wipe after each diaper change.
B
Feedback:
The nurse should use a barrier/healing cream or paste on the skin around the stoma to promote healing and prevent further skin breakdown. Diaper wipes that contain fragrance or alcohol can sting if used on nonintact skin and can worsen skin breakdown. The barrier wafer would be helpful, but does not address the skin breakdown.
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Why was the Balanced Budget Act of 1997 the cause of closures of many proprietary home health care agencies?
a. It specified that all care be given by regis-tered nurses (RNs). b. It listed specific diagnoses that could qualify a patient for home health care. c. It limited the amount of money that could be spent on a patient. d. It increased the criteria for patient eligibil-ity for home care.
The nurse is administering intramuscular glucagon to a diabetic client who is hypoglycemic and unable to swallow. Which precaution should the nurse institute for complications or res-ponses to this therapy?
A. Apply pressure to the injection site for 5 minutes. B. Position the client on his or her side. C. Have a padded tongue blade available. D. Elevate the head of the bed.
Throughout your nursing career your primary role is, at all times, to ______.
a. protect those in your care b. wear your uniform correctly c. be on time for your shift d. work hard
During a prenatal interview, the nurse asks a pregnant woman about her use of prescribed drugs, over-the-counter medications, and herbs or "home remedies."
When the woman asks the nurse why there are questions about the use of herbs, the most appropriate response would be: a. "Herbs are a safe, effective alternative to medications for the pregnant woman, and we encourage their use." b. "Many commonly used herbs are contraindicated in pregnancy because of their potential harm to mother and fetus." c. "Herbs are more cost-effective than traditional medications, and we want to call attention to them." d. "There are no herbs that are safe for use during pregnancy."