During the assessment of a client who is 24 hours post-hemicolectomy with a temporary colostomy, the nurse determines that the client's stoma is dry and dark red in color. What action should the nurse implement?
A. place petrolatum gauze dressing over the stoma
B. document the assessment
C. notify the surgeon
D. secure a colostomy pouch over the stoma
Answer: C. notify the surgeon
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The nurse is caring for a client who had a laparoscopic cholecyctectomy three days ago. This phase of surgery is known as:(Select all that apply) Standard Text: Select all that apply
1. Preoperative phase 2. Intraoperative phase 3. Postoperative phase 4. Perioperative period 5. Emergency phase
The nurse points out which of the following as modifiable risks for coronary artery disease (CAD)? (Select all that apply.)
a. Diabetes mellitus b. Heredity c. Smoking d. Hypertension e. Hyperlipidemia f. Age
Upon entering the room of a 74-year-old client receiving brachytherapy for cervical cancer, you find the radiation implant and the position-holding device in the client's bed. What is the nurse's first best action?
A) Assess the client's mental status. B) Use tongs to place the implant in the radiation container. C) Notify the physician and move the client to a different room. D) Don gloves and attempt to reposition the implant and positioning device.
A client has arrived in the same-day surgery suite. He states to the nurse, "I am so worried about being put to sleep and having the surgery." What would be the nurse's best response?
A) "You don't have to worry. It will be fine." B) "Tell me what you are most worried about." C) "I will have the anesthesiologist talk to you." D) "Have you ever had surgery before?"