The patient complains that he will never adjust to his colostomy. In this situation, it would be best for the nurse to
a. encourage him to express his concern.
b. suggest that he discuss his concerns with his physician.
c. counsel him that everything will be all right.
d. explain that his concerns will be dealt with when he is taught how to care for his colostomy.
A
When a colostomy is performed, the patient or significant other should be able to verbalize and demonstrate understanding of ostomy care to the nurse.
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The nurse understands that the holistic view of an individual will include which of the following? (Select all that apply.)
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A client is admitted and placed in isolation for a respiratory disorder. Which of the following will the nurse need to wear prior to having contact with the client?
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1. "Infants should not have acetaminophen (Tylenol) because it damages the liver." 2. "It is best if the pediatrician is called; he can be asked this question." 3. "It is fine to use the same medicine for both children." 4. "Infant drops should be used for the baby; they are different from liquid medicine."
J.F., a 67-year-old woman, was involved in an auto accident and flown by emergency helicopter to your facility. She sustained a ruptured spleen, fractured pelvis, and compound fractures of the left femur. On admission (5 days ago) she underwent a splenectomy. Her pelvis was stabilized with an external fixation device 3 days ago, and, yesterday, her left femur was stabilized using balanced suspension with skeletal traction. She has a Thomas splint with a Pearson attachment on her left leg. She has 20 pounds of skeletal traction and 5 pounds applied to the balanced suspension. Her left femur is elevated off the bed at approximately 45 degrees. The lower leg is parallel to the bed and lies in a sling that the nurse adjusts on the frame, and the foot hangs freely.
This morning, J.F. was transferred to your orthopedic unit for specialized care. You are the nurse assigned to care for her on the night shift. You enter J.F.'s room for the first time. What aspects of the traction will you inspect? What will be an ideal response?