A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to see me with this bag." Which of the following responses should the nurse make?
"Many people have colostomies and they live full lives."
"Would it help to speak with someone else who has a colostomy?"
"Why don't you want people to see the colostomy bag?"
"You shouldn't worry, the colostomy is probably only temporary."
The Correct Answer is A
Correct. This response provides reassurance and normalizes the client's experience by emphasizing that having a colostomy does not prevent individuals from leading fulfilling lives. B. Incorrect. While peer support can be beneficial, this response does not directly address the client's concerns or provide immediate reassurance.
C. Incorrect. This response may put the client on the spot and make them feel uncomfortable discussing their feelings. It's important to respect the client's privacy and autonomy in disclosing their reasons for not wanting others to see the colostomy bag.
D. Incorrect. Making assumptions about the temporary nature of the colostomy without medical confirmation may not be accurate and can contribute to false hope or disappointment if the client's colostomy is permanent. It's important to provide honest and accurate information while being supportive of the client's emotional needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect. Nail growth typically decreases with age rather than increases, and it is not due to calcium deposits.
B. Incorrect. Sweating tends to decrease with age rather than increase due to changes in sweat gland activity.
C. Incorrect. Cardiac output generally decreases with age due to changes in the heart's structure and function, rather than increasing due to weakened heart valves.
D. Correct. Increased joint stiffness is an expected age-related change due to the loss of elasticity in joint cartilage, leading to conditions such as osteoarthritis, which commonly affects older adults.
Correct Answer is A
Explanation
A. Disposing of insulin needles in a puncture-proof container is a safe practice to prevent accidental needle sticks and transmission of infections.
B. Opened insulin vials should be stored at room temperature, not in the refrigerator, to prevent insulin from crystallizing or becoming too cold for injection.
C. Shaking the insulin vial before drawing it into the syringe can cause air bubbles to form, leading to inaccurate dosing.
D. Regular insulin should appear clear, not cloudy. Cloudiness may indicate contamination or degradation of the insulin, and the client should not use it.
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