A 33-year-old male patient with a gunshot wound to the abdomen undergoes surgery, and a colostomy is formed as shown in the accompanying figure. Which information will be included in patient teaching?
a. Stool will be expelled from both stomas.
b. This type of colostomy is usually temporary.
c. Soft, formed stool can be expected as drainage.
d. Irrigations can regulate drainage from the stomas.
b. This type of colostomy is usually temporary.
A loop, or double-barrel stoma, is usually temporary. Stool will be expelled from the proximal stoma only. The stool from the transverse colon will be liquid and regulation through irrigations will not be possible.
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A patient comes to the health clinic complaining of tremors and hyperexcitability. The nursing assessment reveals exophthalmos. The patient is exhibiting signs and symptoms of which of the following?
A) Hypothyroidism B) Hyperthyroidism C) Diabetes D) Adrenal gland tumor
The primary nurse is assisting a new graduate nurse to complete a hemodynamic assessment on a patient being monitored via a Swan-Ganz. Which action by the new graduate would require the nurse to intervene?
1. inflating the pressure bag to 300 mm Hg 2. infusing a vasoactive drug through the proximal injectate port 3. using iced normal saline to obtain a cardiac output 4. obtaining a pulmonary artery wedge pressure reading through the distal port
You are the nurse assigned to make several home visits in one day. What would you do with your valuables (e.g., purse or wallet and jewelry) and medical supplies during the day?
a. lock valuables and all supplies not needed (for any one visit) in the trunk of your car and leave jewelry at home b. get a lockable suitcase on wheels to put the valuables in and wheel everything around with you c. carry all valuables with you in a disclosed location and request that the head of household escort you to and from your car d. call the local police station and arrange for a police escort to the family home if you have any concerns about your valuables
A patient with high serum LDL cholesterol levels tells you that he usually eats a granola bar and a cup of coffee on the way to work; eats a grilled cheese sandwich and chips for lunch; eats a home-cooked meal for dinner, which is usually a chicken dish with potatoes or pasta and frozen vegetables; and snacks on popcorn and pretzels. The most beneficial change for him to make to lower his LDL cholesterol levels would be to
a. use fresh instead of frozen vegetables. b. drink decaffeinated instead of regular coffee. c. eat unsalted pretzels and popcorn. d. eat a turkey sandwich with 100% whole-grain bread instead of grilled cheese.