The nurse is caring for a patient with an ostomy. The nurse notes that the ostomy is putting out watery effluent. The nurse recognizes that this is indicative of which location?
a. Descending colon
b. Sigmoid colon
c. Ileal portion of the small intestine
d. transverse colon
C
An opening in the ileal portion of the small intestine is an ileostomy, and the fecal effluent will be watery to thick liquid that will contain some digestive enzymes. A colostomy in the descending or sigmoid colon generally results in a stool similar to that normally passed through the rectum. If the opening is in the transverse or ascending colon, the effluent will vary from thick liquid to semi-formed stool.
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A nursing manager would like to see the nurses on that unit increase their commitment to patient advocacy. Which action by the manager would best meet this goal?
a. Bring a political activist to the unit for motivational speeches. b. Lobby for patient and family rights bills to pass state legislation. c. Organize a political drive for state coverage of all standard vaccinations. d. Schedule a walk-a-thon for donations to pay for medications.
What signs of infiltration should be assessed by a nurse?
a. Burning sensation, pain, and puffy b. Pain, heat, and puffy c. Burning sensation and no feeling at the site d. Red streak up the arm
A nurse is meeting with a young woman who has recently lost her mother and her job and has moved with her husband to a new city
She is complaining of acute anxiety and depression. What does the nurse knows that would be helpful to this patient? A) Adaptation often fails during stressful events and results in homeostasis. B) Stress is a part of our lives, and, eventually, this young woman will adapt. C) Acute anxiety and depression are seldom associated with stress. D) Sometimes too many stressors disrupt homeostasis, and, if adaptation fails, the result is disease.
The nurse understands that during the Tension Building Phase of the Cycle of Violence, victims may protect themselves by exhibiting which of the following behaviors? Select all that apply
A) After the abuser apologizes, expressing hope about the future B) If possible, leaving the abuser alone C) Taking actions to calm the abuser D) Welcoming the idea to have someone else contact the authorities E) Attempting to nurture the abuser