A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, "I'm worried about that bag." Which of the following is an appropriate response by the nurse?
"Have you ever known someone who has a colostomy?
"Let's wait until after the surgery to discuss your concerns about your colostomy."
"You are worried about having to wear a colostomy bag?"
"The surgeon will only place the colostomy if it is necessary.”
The Correct Answer is C
The nurse's response demonstrates active listening and empathy, acknowledging the client's concerns and addressing them directly. It allows the client to express their worries and opens up a dialogue for further discussion and support. This response shows that the nurse is attentive to the client's emotions and is ready to provide information and reassurance regarding the colostomy. It also encourages the client to openly discuss their fears and concerns, which can help alleviate anxiety and promote a trusting nurse-client relationship.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,C,D,B
Explanation
The correct order of actions for mixing short-acting and intermediate-acting insulin in the same syringe is as follows:
- Inject air into the intermediate-acting insulin vial.
- Inject air into the short-acting insulin vial.
- Draw the short-acting insulin into the syringe.
- Draw the intermediate-acting insulin into the syringe.
The reason for this order is to prevent contamination of the vials. By injecting air into each vial first, you create equalized pressure, making it easier to withdraw the insulin. Drawing the short-acting insulin before the intermediate-acting insulin helps prevent contamination of the short-acting insulin vial with the intermediate-acting insulin.
Correct Answer is B
Explanation
A. Mixing medications in a syringe can lead to potential drug interactions, changes in medication efficacy, or altered drug absorption. Each medication should be administered separately to maintain their individual therapeutic effects.
B. Each medication should be diluted with sterile water to ensure it can pass through the NG tube without clogging and to facilitate proper absorption.
C.Flushing the NG tube with 5 mL of sterile water is generally not enough. The tube should be flushed with a sufficient amount of water (usually 15-30 mL) before and after administering medications to ensure that the medications are delivered properly and to prevent clogging.
D.Medications should not be combined with the formula in the feeding bag. This can alter the effectiveness of both the medications and the feeding formula.
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