A patient comes to the industrial nurse and is frantic because the stoma to the colostomy has prolapsed 1 year after surgery. What is the best response by the nurse?
a. "If there are still feces coming from the stoma, then it is not blocked. Contact your surgeon for an evaluation."
b. "You must come in immediately because the stoma may completely retract into your abdomen."
c. "This is an emergency situation because it has stenosed."
d. "Don't worry about that. Coughing or sneezing might have caused the prolapse. It will come back out in a few hours."
A
The prolapse of a stoma is very disturbing to a patient. The condition should be evaluated by the surgeon. However, if the stoma is still patent, emergency implementation is not necessary. Pro-lapse can be caused by coughing or sneezing, but the stoma will still need evaluation.
You might also like to view...
Which of the following meal choices indicates the patient understands the diet restrictions when taking an MAOI?
A. Pepperoni pizza and beer B. Roast chicken, baked potato, and beer C. Fried fish, rice, and cola D. Pickled herring, eggs, and coffee
A nurse working in an assisted care facility is preparing an educational program regarding suicide for the colleagues on the unit. What information will need to be included? Select all that apply
A) Suicide rates are the highest in people age 65 and older. B) Suicide rates are the highest in teens. C) You should never question a person about suicide intent. D) An older person who contemplates suicide is more likely to complete the act than a younger person. E) Approximately 70% of older adults who commit suicide had visited their primary care physician within the previous month.
A patient who has been prescribed lovastatin (Mevacor) asks why all urine must be saved for intake and output measurements. What is your best response?
a. "All patients on this unit have orders for strict intake and output measurements." b. "Intake and output measurements are important indicators of how well your kidneys are functioning." c. "A side effect of this drug can be blockage of urine flow through the kidneys and decreased urine output." d. "Sometimes this drug can cause the kidneys to make extra urine resulting in increased urine output and dehydration."
Which characteristic of an organization has influence on the ethical decisions its managers' make?
A) Purpose B) Societal role C) Societal constraints D)Values