A patient is receiving discharge instructions. He shares with the nurse that he intends to do a lot of traveling. Instructions for travel should include which of these points?
1. "Pack plenty of extra colostomy supplies in your checked airline luggage. Some places you might visit do not always carry those supplies you will need."
2. "Exercise caution with new foods, especially local fruits and vegetables, because they may cause diarrhea or gas."
3. "If visiting somewhere where drinking local water is not advised, it is still all right to irrigate the colostomy with the local water."
4. "Repeat back to me what we just talked about so that you will be sure and re-member carefully everything you have been taught."
2
Warning about foods in a different country is appropriate. Supplies should be placed in a carry-on bag for quick access or in the case of lost luggage. Water that is not safe to drink is not appropriate as irrigation fluid.
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A nurse is assessing the patient's home medication use. After listening to the patient list current medications, the nurse asks what priority question?
A) "Do you take any generic medications?" B) "Are any of these medications orphan drugs?" C) "Are these medications safe to take during pregnancy?" D) "Do you take any over-the-counter medications?"
A baby is born with blood type AB. The father is type A and the mother is type B. The father asks why the baby has a blood type different from that of his parents. The nurse's answer should be based on the knowledge that:
a. both A and B blood types are dominant. b. the baby has a mutation of the parents' blood types. c. type A is recessive and links more easily with type B. d. types A and B are recessive when linked together.
The chief operations officer of a local hospital has issued a memorandum indicating that the modular waiting room furnishings will be replaced with stationary units. This is an example of which type of strategy for preventing workplace violence?
a. Administrative controls b. Behavior modification c. Environmental design d. Fixture adaptation
The nurse has been closely observing a client who has been displaying aggressive behaviors and notes that the client's aggressiveness is escalating. Which nursing intervention would be least helpful to this client at this time?
A. Initiating confinement measures B. Acknowledging the client's behavior C. Assisting the client to an area that is quiet D. Maintaining a safe distance with the client