What can be caused by lack of thorough cleansing of fecal matter from around a stoma? (Select all that apply.)
a. Fungal infection
b. Bacterial infection
c. Yeast infection
d. Deterioration of the stoma
e. Odor
A, B, C, E
Fecal matter left on the skin and trapped under the pouch can cause fungal, bacterial, and yeast infections, as well as odor.
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Which of the following patients is at highest risk for alteration in bowel elimination?
A) A patient who is paralyzed from a spinal cord injury B) A patient who has a diagnosis of type 2 diabetes C) A patient who has hypertension D) A patient who takes thyroid replacements
The blood vessels of the umbilical cord are protected from the pressure of the uterus by
a. a cushion of amniotic fluid c. a padding of Whar-ton's jelly b. a strong, thick muscle layer d. surrounding vascular tissue
Identify the defining characteristics in the nursing diagnosis statement:
Constipation related to decreased gastrointestinal motility secondary to pain medication administration as evidenced by the patient reporting no bowel movement in seven days, abdominal distention, and complaints of abdominal pain. a. Decreased gastrointestinal motility b. Pain medication c. Abdominal distention d. Constipation
The nurse is working with a patient who has left-sided weakness. After instruction, the nurse observes the patient ambulate in order to evaluate the use of the cane. Which action indicates that the patient knows how to use the cane properly?
A) The patient keeps the cane on the left side B) Two points of support are kept on the floor at all times C) There is a slight lean to the right when the patient is walking D) After advancing the cane, the patient moves the right leg forward