A client with cancer of the rectum is scheduled for surgery and the placement of a permanent ostomy. The nurse includes discussion of which of the following types of ostomies in the client's presurgical education plan?
1. Sigmoid
2. Duodenal
3. Double-barrel
4. Transverse loop
Sigmoid
Rationale: A sigmoid colostomy is the most common permanent colostomy performed, particularly for cancer of the rectum. The duodenal, double-barrel, and transverse loop colonoscopy are not in the correct area to manage cancer in this location.
Cognitive Level Application
Nursing Process: Planning
Client Need: Physiological Integrity
LO 6
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The nurse is evaluating the effectiveness of teaching provided to a client with erectile dysfunction. Which comment made by the client should be addressed by the nurse?
1. "I do not want to upset my wife so I will share my concerns with you." 2. "I know there are surgical options if I cannot tolerate the pills." 3. "I am not embarrassed to tell you I am unable to have an erection." 4. "I know I need to take the sildenafil (Viagra) about an hour before having sex."
In addition to administering antibiotics, nursing care of the infant with meningitis includes which of these interventions?
a. maintaining isolation for a minimum of 72 hours b. monitoring neurological status every 4 hours c. observing the infant's developmental status d. ensuring the parents receive prophylactic treatment
Subtract 2.4 from 10
1. 7.6 2. 12.40 3. 9.76 4. 12.4
The nurse is wondering if the cancer treatments might be more harmful than the progression of the disease because of the dangerous side effects of chemotherapy. What ethical principle is the nurse struggling with in this situation?
A) Autonomy B) Beneficence C) Justice D) Nonmaleficence