The nurse is teaching a client how to care for a new ileostomy. Which client statement indicates that additional teaching is needed?
a. "I will consult the pharmacist before fill-ing any new prescriptions."
b. "I will empty the ostomy pouch when it is half-filled with stool or gas."
c. "I will wash my hands with antibacterial soap before and after ostomy care."
d. "I will call my health care provider if I have not had ostomy drainage for 3 hours."
D
A client with an ileostomy should call the provider if no drainage has come from the ostomy in 6 to 12 hours. The other statements indicate good understanding of self-management.
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When teaching a client the most effective way to be pro-active against possible biological attacks, the nurse identifies:
a. Store food and water in a safe place. b. Be immunized and keep them up to date. c. Know where the local safe shelter is located. d. Purchase an emergency-band radio.
An adolescent attempts suicide several days after a high school peer committed suicide. The student's mother is devastated that this could happen and that the family could be so unable to tell that their child was at risk
Which response by the school nurse best reflects our understanding of suicide in adolescence? Select all that apply. a. Most persons who attempt suicide conceal their despair and their intent from others quite effectively so no one will interfere with their attempt. b. Adolescents have an immature prefrontal cortex, leading to greater impulsiveness, impaired judgment, and less ability to tolerate frustration. c. Serotonin pathways are not fully developed until adulthood, leading to moodiness and sudden onset of depression in children. d. People, particularly adolescents, sometimes identify with others who have attempted suicide, leading them to decide to attempt suicide as well. e. The grief following a peer's death, by suicide or otherwise, can itself contribute to depression and a significant increase in suicide risk. f. Usually when one adolescent has committed suicide and others follow with their own attempts, they are trying to evoke the attention shown to the dead child.
Which of the following is a serious symptom in a feverish child?
A. Teary eyes B. Projectile vomiting C. Lack of appetite D. Diarrhea
Michelle, an anesthesiologist, is required to sedate a patient and limit the depressant effect of the anesthetic on the heart. She decides to use etomidate. Which of the following statements, if true, would make etomidate a poor choice?
A. The patient is undergoing a renal procedure. B. The patient is susceptible to postoperative nausea and vomiting (PONV). C. The patient is undergoing liver transplantation. D. The patient is susceptible to cerebral ischemia.