The nurse will determine that teaching a 67-year-old man to irrigate his new colostomy has been effective if the patient
a. inserts the irrigation tubing 4 to 6 inches into the stoma.
b. hangs the irrigating container 18 inches above the stoma.
c. stops the irrigation and removes the irrigating cone if cramping occurs.
d. fills the irrigating container with 1000 to 2000 mL of lukewarm tap water.
b. hangs the irrigating container 18 inches above the stoma.
The irrigating container should be hung 18 to 24 inches above the stoma. If cramping occurs, the irrigation should be temporarily stopped and the cone left in place. Five hundred to 1000 mL of water should be used for irrigation. An irrigation cone, rather than tubing, should be inserted into the stoma; 4 to 6 inches would be too far for safe insertion.
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A client wants to know how to adequately prevent dehydration and hyponatremia when running long distances. Which response should the nurse make?
a. "Avoid ingesting salty foods on the day of the race." b. "You should drink at every opportunity during the race." c. "Liberally salt your food and drink just to maintain your weight during the race." d. "Focus on increasing your consumption of potassium-rich foods during the race."
A woman at 32 weeks' gestation .is HIV-positive but asymptomatic. What would be important in managing her pregnancy and delivery?
1. An amniocentesis at 30 and 36 weeks 2. Weekly nonstress testing beginning at 32 weeks' gestation 3. Application of a fetal scalp electrode as soon as her membranes rupture in labor 4. Administration of intravenous antibiotics during labor and delivery
0.987 converted to a percent is 98.7%
Indicate whether the statement is true or false
The nurse instructs a client on nonpharmacologic therapies for pain management. Which techniques should be included in this teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Reiki 2. Heat or cold packs 3. Massage 4. Anti-inflammatory drugs 5. Opioid drugs