The nurse is aware that many ostomates have an altered self-image, which may cause:
1. self-care deficits.
2. sexual dysfunction.
3. nonadherence to diet.
4. irrational anger.
2
A damaged self-image or body image may cause ostomates to feel unattractive and embar-rassed about possible sexual activity. Open-ended questions assist the patient to talk about their feelings.
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A nurse in the intensive care unit (ICU) is admitting a patient with a neck injury he received while diving into a lake
The emergency department nurse reports that his blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. The ICU nurse recognizes that the patient is probably experiencing: A) Anaphylactic shock B) Neurogenic shock C) Septic shock D) Hypovolemic shock
A pregnant client asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will decrease after delivery due to:
a. Increased estrogen. b. Increased progesterone. c. Decreased melanocyte-stimulating hormone. d. Decreased human placental lactogen.
What is the major disadvantage of open reduction internal fixation (ORIF)?
a. client rejection of implanted device b. introducing infection into the bone c. permanent damage to the central nervous system d. potential for incomplete repair of the fracture
The prescriber orders all of the following drugs for a patient who had surgery 2 days ago. Which drug order should you administer first?
a. Alphamine (cyanocobalamin) 100 mcg intramuscularly once b. Benadryl (diphenhydramine) 25 mg orally every 8 hours c. Compazine (prochlorperazine) 10 mg orally STAT d. Dalmane (flurazepam) 30 mg orally at night PRN