A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir (J pouch). What information should the nurse include in this client's teaching plan?
a. The client will need an easily removable appliance.
b. The client will need to plan for a daily irrigation.
c. The stool will be expelled through the rectum eventually.
d. The transverse loop ostomy will be temporary.
D
The ileal pouch–anal anastomosis (also known as the J pouch) prevents the need for an ostomy and preserves the rectal sphincter muscle. The rectal mucosa is excised and the colon removed. An ileoanal reservoir is then created in the anal canal, and a temporary loop ostomy is formed. After healing has taken place, the ileostomy is reversed and stool drains into the reservoir.
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The nurse gave a client an injection and, when attempting to recap the needle, sustained a needlestick injury to the finger. What is the priority action by the nurse?
A) Report the injury or exposure to the supervisor. B) Document the injury in writing. C) Receive instructions on monitoring potential symptoms and medical follow-up. D) Receive the most appropriate postexposure prophylaxis.
Nurses should be aware that accelerations in the fetal heart rate:
a. Are indications of fetal well-being when they are periodic. b. Are greater and longer in preterm gestations. c. Are usually seen with breech presentations when they are episodic. d. May visibly resemble the shape of the uterine contraction.
What are the broad general causes of bowel incontinence? (Select all that apply.)
a. Inability to recognize defecation urge related to mental impairment b. Inability to respond to defecation urge related to immobility c. Inflammatory bowel disease d. Increased fiber in the diet e. Unexpected defecation when passing gas
A patient with a distant history of injection substance use is diagnosed with hepatitis. For which type of hepatitis should the nurse plan care for this patient?
A. Hepatitis A B. Hepatitis C C. Hepatitis D D. Hepatitis B