A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?
Question-and-answer
Discussion
Role play
Return demonstration
The Correct Answer is B
Choice A reason: A question-and-answer session might provide information but does not specifically encourage the client to share their feelings and concerns about the colostomy. It's more about imparting knowledge rather than addressing emotional needs.
Choice B reason: Discussion is an effective strategy to encourage the client to share their feelings about the colostomy. It creates an open environment for expressing concerns, asking questions, and receiving emotional support.
Choice C reason: Role play can be useful in teaching new skills or preparing for specific situations, but it might not be the best initial approach for someone struggling to accept a new colostomy. Emotional readiness and comfort should be addressed first.
Choice D reason: Return demonstration is a method to confirm the client's understanding of a procedure by having them perform it. It is more appropriate for assessing practical skills rather than addressing emotional concerns and readiness to engage with the stoma.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Reinserting the tube without confirming its correct placement can cause harm or lead to complications. It is not the nurse's role to reinsert the tube without proper verification.
Choice B reason: Repositioning the tube without verifying its placement could also cause harm. Ensuring correct placement should be done before any attempts to reposition the tube.
Choice C reason: Documenting the findings and administering feedings without confirming the tube's correct placement can result in serious complications, such as feeding into the wrong location.
Choice D reason: Notifying the healthcare provider immediately is the appropriate action. The provider can order verification of tube placement, such as through an X-ray, to ensure it is correctly positioned before any feedings are administered.
Correct Answer is B
Explanation
Choice A reason: Hepatitis is inflammation of the liver and does not directly cause biliary sludge. It can lead to liver damage and other complications, but not specifically biliary sludge.
Choice B reason: Bile stasis, or the stagnation of bile, leads to the formation of biliary sludge. When bile does not flow properly, it can thicken and form sludge, which consists of bile salts, cholesterol, and other substances.
Choice C reason: Ascites is the accumulation of fluid in the peritoneal cavity, typically due to liver disease, and does not cause biliary sludge.
Choice D reason: Biliary colic is pain caused by the obstruction of the bile ducts, often by gallstones, but it does not itself cause the formation of biliary sludge. Sludge can lead to biliary colic if it obstructs the bile ducts, but it is not a causative condition.
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