The nurse explains to a preoperative patient that a J-pouch anal anastomosis procedure has the primary advantage of:
1. no odor.
2. easier to irrigate.
3. near-normal bowel elimination.
4. less problem with diarrhea.
3
Preoperative teaching includes the expectation of near-normal bowel elimination. As with any bowel elimination, there will be odor and possibly occasional diarrhea. There is no need for an irrigation.
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A 15-year-old was referred to the mental health clinic by juvenile court after an arrest for vandalism and assault on a teacher. The teen tells the nurse, "I hate my parents. They focus all attention on my brother, who is perfect in their eyes."
Which nursing diagnosis applies? a. Chronic low self-esteem related to feelings of guilt, as evidenced by believing a brother is the parental favorite b. Hopelessness related to feeling unloved by parents, as evidenced by assaulting a teacher c. Ineffective coping related to seeking parental attention, as evidenced by acting out d. Disturbed personal identity related to acting out, as evidenced by vandalism
The nurse is preparing to administer an intradermal medication. Which item will form to indicate the medication was injected at the proper depth?
1. Diluent 2. Wheel 3. Wheal 4. Blister
What should the unit supervisor do to assist the RN who has just been promoted to charge nurse on the unit to adjust to her new role?
A) Take the RN out to lunch to congratulate the nurse on the promotion. B) Encourage the RN to meet with peers in the organization. C) Explain to the RN to be tough on underlings to gain their respect. D) Fill the RN in on the past performance of new employees.
The nurse would prioritize which nursing diagnosis when caring for a patient diagnosed with a spinal cord injury?
1. Fluid Volume Deficit 2. Impaired Physical Mobility 3. Ineffective Breathing Pattern 4. Altered Tissue Perfusion