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. Mini Nutritional Assessment screening tool score B. History of hyperlipidemia C. History of malnutrition D. History of diabetes mellitus E. Cholesterol level F. Prealbumin level

Correct Answer is ["C","D","F"]

Explanation

A. Mini Nutritional Assessment screening tool score: While it indicates the risk of malnutrition, it's not directly linked to delayed wound healing.
B. History of hyperlipidemia: Hyperlipidemia itself doesn't directly affect wound healing.
C. History of malnutrition: Malnutrition significantly hampers the body's ability to heal wounds effectively.
D. History of diabetes mellitus: Diabetes can impair wound healing due to poor blood sugar control affecting the immune system and circulation.
E. Cholesterol level: Elevated cholesterol, while relevant to overall health, is not directly linked to delayed wound healing.
F. Prealbumin level: Prealbumin is a marker for nutritional status; lower levels indicate inadequate protein intake and can contribute to delayed wound healing.

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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 nurse is caring for a client who is scheduled for surgery. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.

Correct Answer is ["C","D","F"]

Explanation

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

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