The client expresses fears about looking at the stoma for the first time. What can the nurse inform the client will occur when he first views and touches the stoma?
A) An assigned staff nurse will be there when the stoma is exposed for view.
B) The client will be expected to perform self-care of the stoma after surgery.
C) The client will not have to look at the stoma; a family member can do the care.
D) The stoma will be covered so the client will not have to view it.
A
Feedback:
Inform the client that an assigned staff nurse will be there when the client first views and touches the stoma. Such information gives reassurance that a familiar nurse will be available to answer questions and give support. The client will not be expected to perform stoma care directly after the surgical procedure because he will require medication for pain and discomfort. An expected outcome is that the client will be able to perform self-care of the stoma. The stoma will not be covered; it will have an appliance that is clear.
You might also like to view...
A young child has repeated upper respiratory infections. The mother is distressed and states that she is sure she is taking care of her child properly and does not understand why her child is constantly ill
Nursing assessment validates that the mother is providing a balanced diet, the child eats well, the mother is careful with hand hygiene, and the child has no genetic or chronic diseases. The child does attend daycare while the mother works. On what rationale should the nurse base her reassurance to the mother? A) All small children are sick all the time, and they outgrow this behavior in a few years. B) Probably the daycare center is the cause of the constant illness, and the child should be moved. C) Small children have an immature immune system and are more susceptible to viral illness. D) The mother should be referred for counseling as she is exhibiting a pathological lack of coping.
A client has an elevated temperature. The nurse is applying a cool compress to his forehead. This is an example of which of the following types of heat loss?
A) Radiation B) Evaporation C) Conduction D) Convection
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be:
1. Alprazolam (Xanax) 2. Diazepam (Valium) 3. Buspirone (Buspar) 4. Amitriptyline (Elavil)
Which drug is least likely to produce physical dependence or tolerance?
A. Marijuana B. Morphine C. Nicotine D. Ethyl alcohol