A nurse who provides care on a postsurgical unit where many patients have undergone bowel surgery intends to implement a clinical practice guideline on ostomy care and management
Which of the following factors would cause the nurse to reconsider the implementation of the clinical practice guideline?
A) The guideline was prepared 3 years ago.
B) The guideline includes studies that are from a medical perspective.
C) The guideline was prepared and released by a body from outside the country.
D) The guideline focuses on community-based patients with ostomies.
D
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The nurse is assisting with the discharge of a client who will be taking narcotics at home for 1 week. What should the nurse include when teaching the client about this medication?
1. Methods to prevent constipation 2. Slowly decrease the dose at home. 3. Stop the medication if desired. 4. Exercise caution when driving.
A nurse has been counseling a young woman who was diagnosed with terminal cancer several months ago. The nurse is anticipating that the young woman is moving toward the second phase of spiritual care. This means that she
A. Will be able to find a new place with God and the church community B. Will be able to reorient her thought process around her illness C. Will be able to find a safe place to talk about her diagnosis D. Will be able to change her self-perception to include the illness
Which action should the nurse in the emergency department take first for a new patient who is vomiting blood?
a. Insert a large-gauge IV catheter. b. Draw blood for coagulation studies. c. Check blood pressure (BP), heart rate, and respirations. d. Place the patient in the supine position.
The mother of a 4-year-old girl brings her daughter in to be evaluated for a fever of 101 degrees and a headache that has lasted for the past three days
The mother was concerned this morning when the child woke up and had reddened cheeks that looked like she had been slapped. The nurse suspects the child has: 1. Impetigo. 2. Fifth's disease. 3. German measles. 4. Hand-Foot-Mouth Disease