A client has just undergone an ileostomy. The semi-liquid intestinal content that continually flow from an ileostomy is called:
a. influent c. effluent
b. outfluent d. esfluent
C
Effluent is the continuous flow of semi-liquid contents from the stoma.
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The nurse working a college health center receives a call from an 18-year-old freshman who says she feels like she is getting sick, and noticed petechiae on her feet an hour ago, and now it has spread to her mid-thigh
The nurse instructs the student to: 1. Go to the Emergency Department immediately. 2. Take two acetaminophens and drink plenty of fluids. 3. Elevate the legs and apply ice. 4. Call her family physician and make an appointment for this week.
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-year-old child?
a. S3 when sitting up b. Persistent tachycardia above 150 beats per minute c. Murmur at the second left intercostal space when supine d. Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line
Which statement by the nurse correctly identifies the UAP role in patient restraint use?
a. "The UAP can perform initial assessment." b. "The UAP can apply a restraint." c. "The UAP can assist with applying and monitoring of a physical restraint." d. "The UAP can contact the physician and request an order for restraints."
You are caring for a client newly admitted to the unit with a diagnosis of lymphangitis. What interventions would you institute to help promote the resolution of the lymphangitis? Select all that apply
A) Apply ice to the area. B) Note the response to antibiotic therapy. C) Encourage independent activities of daily living. D) Elevate the area. E) Apply warm soaks/compresses to the area.