A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?

Rub the peristomal skin dry after cleaning.

Change the pouch once every 24 hr.

Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma.

Apply the pouch while the skin barrier is still damp.

Answer and Explanation

The Correct Answer is C

A.   Rather than rubbing dry, patting the peristomal skin dry after cleaning is recommended.
B.   The frequency of changing the pouch depends on various factors, not a fixed 24-hour schedule.
C.   Ensuring the pouch is slightly larger than the stoma prevents irritation and damage.
D.   Applying the pouch when the skin barrier is dry ensures better adhesion.

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Correct Answer is B

Explanation

A. An intravenous pyelogram is a diagnostic test that uses an injection of contrast material to evaluate the kidneys, ureters, and bladder. A bowel cleansing is not necessary.
B. This is important in ensuring that the metal objects do not interfere with the images.
C. Administering oral contrast might be used in other imaging procedures, but for an IVP, the contrast is typically injected, not given orally.
D. Monitoring for pain in the suprapubic region could be an important assessment after the procedure, but it's not a preparatory action.

A. "I'm looking forward to being able to be independent again." B. "I've never been the kind of person to ask others for help." C. "It's nice having other people cook for me." D. "I really don't know what I'm supposed to do all day."

Correct Answer is C

Explanation

A. Expressing a desire for independence indicates the client may not have fully adapted to relying on others yet.
B. Reluctance to ask for help suggests the client is still adjusting and may not have fully embraced the new living arrangement.
C. Expressing enjoyment or appreciation for others cooking for them indicates acceptance of assistance and adaptation to the new living situation.
D. Expressing uncertainty about daily activities suggests a lack of adjustment to the new environment and situation.

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A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to Include?

Correct Answer is B

Explanation

A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?

Correct Answer is C

Explanation

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