The male client has an ascending colostomy from abdominal trauma four days ago and the nurse observes that the client closes his eyes during stoma care. Which does the nurse use to determine the next nursing intervention?
1. Client needs assistance to perform this procedure.
2. Client adjusts to a changed body image gradually.
3. Client needs to learn self-care shortly after surgery.
4. Client describes proper stoma care within one week.
2
2. Clients usually need time to adjust to an abrupt body image change brought on by an unforeseen circumstance, the trauma. The client had little time to adjust to a stoma preoperatively because the decision to create the ostomy was made abruptly.
1. Clients do not require assistance to perform stoma care.
3 and 4. Along with allowing clients time to adjust to the idea of a stoma, the nurse provides stoma care in the immediate postoperative period and delays client teaching before expecting the client to care for the stoma. In addition, this client had trauma significant enough to cause bowel damage, so the client can be weak from blood loss or other injuries.
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The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. The nurse will know the parents understand the teaching if they state
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