A 20-year-old patient with a permanent colostomy asks whether she will be able to become pregnant. What is the most informative response by the nurse?
a. "No. The colostomy weakened the pelvic floor to the point that it will not support a pregnancy."
b. "Yes. Pregnancy may be accomplished with artificial insemination because the fallopian tubes are usually damaged by a colostomy."
c. "No. The abdominal pressure exerted by a pregnancy will cause the prolapse of the stoma."
d. "Yes. The colostomy will not interfere with pregnancy or delivery."
D
Colostomies do not interfere with pregnancy or delivery.
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A child has been admitted to the hospital unconscious. The child has a history of insulin-dependent diabetes mellitus, and according to the child's mother, he took a normal dose of insulin this morning with breakfast
At school, the child had two pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this child's unconscious state? 1. Metabolic alkalosis 2. Metabolic ketoacidosis 3. Insulin shock 4. Insulin reaction
The clinic nurse is assessing a child with a heavy ascariasis lumbricoides (common roundworm) infection. Which assessment findings should the nurse expect? (Select all that apply.)
a. Anemia b. Anorexia c. Irritability d. Intestinal colic e. Enlarged abdomen
The nurse notices that there are four boxes of 180-gauge IV start catheters in the supply room even though the standard IV start on the unit is done with a 20-gauge IV catheter. What should the nurse do?
1. Consult with the nurse manager about the situation. 2. Send the catheters back to central supply. 3. Send the catheters to a unit that uses this size. 4. Start using 18-gauge catheters for IV starts on the unit.
Because unpaid caregivers are so significant to the successful health maintenance of the older adult, the licensed home health coordinator should:
a. tell them to call the agency if they need any further assistance. b. leave them entirely on their own so as not to interfere with the care they provide. c. critique care to improve its effectiveness. d. be generous with positive feedback.