The nurse is teaching a patient about peristomal skin care. Which information is most important for the nurse to include? (select all that apply.)
a. Gently remove the faceplate of the ap-pliance to avoid skin irritation.
b. Washing the peristomal area with a scrub-bing motion to rid the skin of fecal waste.
c. Thoroughly rinse the skin.
d. Apply a skin barrier to the peristomal area.
e. Cut the faceplate to allow a -inch opening around the stoma.
A, C, D
The faceplate should be removed gently to avoid skin damage; rinsing and drying, and applica-tion of a skin barrier, is essential. Washing should be gentle; the patient should avoid scrubbing that could irritate the skin. The faceplate should allow a ???-inch opening around the stoma.
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The nurse is caring for a family in which four members have tuberculosis. The family describes its
health system to the nurse, noting that shamanic healing is used. The nurse will have the greatest success in planning treatment if she creates a plan that uses antituberculin medication as well as a. services of a folk healer. b. behavior therapy. c. acupuncture. d. yoga.
A 75-year-old woman with type 2 diabetes has
recently been placed on glipizide (Glucotrol), 10 mg daily. She asks the nurse when the best time would be to take this medication. What is the nurse's best response? a. "Take this medication in the morning, 30 minutes before breakfast." b. "Take this medication in the evening with a snack." c. "This medication needs to be taken after the midday meal." d. "It does not matter what time of day you take this medication."
A pouch that bulges outward through a weak spot in the colon is called a:
a. Colon pouch b. Colostomy c. Diverticulum d. Hernia
On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents ask whether they can hold their infant during his next gavage feeding
Given that this newborn is physiologically stable, what response would the nurse give? a. "Parents are not allowed to hold infants who depend on oxygen." b. "You may hold only your baby's hand during the feeding." c. "Feedings cause more physiologic stress, so the baby must be closely monitored. Therefore, I don't think you should hold the baby." d. "You may hold your baby during the feeding."