An enterostomal nurse is teaching a patient how to pouch a colostomy. The nurse demonstrates in what order? Rank from step A to step D. (Separate letters by a comma and space as follows: A, B, C, D.)
A. Cleanse peristomal skin with warm water.
B. Apply barrier.
C. Apply pouch.
D. Perform hand hygiene.
D, A, B, C
Always begin procedures with hand hygiene. Next, the nurse needs to cleanse the skin to remove old barrier and/or feces. The barrier must be applied to the skin to protect it and to ensure the pouch will fit securely to the skin.
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The nurse is preparing to do a research study on the effects of tight insulin control for diabetes. Using the knowledge that epidemiologic research can be descriptive or analytical, which would be the strongest study design to consider?
A) Retrospective B) Quasi-experimental C) Experimental D) Randomized, control group
While observing a student pass medications, the nursing instructor correctly recognizes that further teaching is necessary if
1. The student asks the patient to state his or her name and birth date before administration. 2. The student opens the pills and places them in a medicine cup at the medication cart before administration. 3. The student performs three safety checks to evaluate right medication, dose, and time before administration. 4. The student compares the name and patient number on the medication administration record with that on the patient's armband before administration.
The nurse finds a client with diabetes mellitus type 1 unresponsive. Which is the priority nursing action?
A. Call the rapid response team. B. Administer glucagon. C. Administer oxygen. D. Assess the vital signs.
When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
a. Protruding abdomen with skin that is lighter in color than the arms and legs b. Marked rhythmic pulsation to the left of the midline c. Faint, fine vascular network d. Small shadows created by changes in contour