A client with a colostomy has been taught and successfully demonstrated colostomy care. The doctor has given the client permission to change the apparatus, but the charge nurse instructs the staff to perform colostomy care
When the client does not object to the staff performing care, the nurse caring for the client encourages the client to respond to the charge nurse by stating: 1. "I have been trained to change the apparatus, and I want to continue.".
2. "You have no right to treat me this way. I have been trained to change the apparatus.".
3. "I will report you to the doctor who said I could change my own apparatus.".
4. "I will change my own apparatus whether you like it or not.".
1. "I have been trained to change the apparatus, and I want to continue.".
Rationale:
The nurse would assist the client to make a clear, assertive statement saying that the client learned the procedure and wishes to execute it. Saying "You have no right…" is a challenge to the charge nurse and will only result in an escalation of the argument. Telling the charge nurse that the doctor will be notified is a threat and only inflames the situation. Insisting that the client will continue to change the apparatus will only result in the charge nurse taking further action to prevent client from being able to care for the colostomy.
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0.04 g
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