The student nurse is caring for a patient who is postoperative day 3 following a colostomy. While changing the dressing, the student nurse notes that the stoma is dusky in color
The student asks his preceptor what this might indicate. What should the nurse preceptor respond?
A) This is a normal color postoperatively.
B) The patient's oxygen saturation may be low.
C) Circulation to the stoma is compromised.
D) The stoma is blocked.
Ans: C
Feedback: Postoperative complications following colon resection may include hemorrhage, infection, and anastomosis. A healthy viable stoma should be pink. This does not indicate that the patient's oxygen saturation is low or that the stoma is blocked.
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The nurse is conducting an interview with a client, and has reached the body of the interview. Which of the following is a therapeutic question to begin the body of the interview?
1. "Are you feeling ill today?" 2. "What brings you to the hospital?" 3. "What medications are you taking now?" 4. "What ages are your children?"
The client is admitted to Labor and Delivery with a history of ruptured membranes for two hours. This is her sixth delivery; she is 40 years old, and smells of alcohol and cigarettes. This client is at risk for:
1. Gestational diabetes. 2. Placenta previa. 3. Abruptio placentae. 4. Placenta accrete.
The nurse reassures the patient that the method used to determine the size of the true pelvis for over 20 years with no detrimental effects to the fetus is:
a. pelvimetry. b. palpation. c. ultrasonography. d. x-ray.
The results of a 22-year-old college student's most recent Papanicolaou (Pap) test are suggestive of cervical cancer
Since learning of this news, the patient has asked numerous questions of all members of the health care team, including the nurses at the campus medical clinic. What patient teaching should the nurse at the clinic prioritize in this patient's care? A) Environmental influences on the etiology of genitourinary cancers B) The relationship between viruses and cervical cancer C) Genetic and familial factors in the development of cervical cancer D) The role that the immune system normally plays in preventing cancer