A nurse is reinforcing teaching for a client who has a new ascending colostomy. Which of the following comments by the client indicates an understanding of the teaching?

I will irrigate the colostomy every day.

I will notify my doctor if the stoma starts to look purple.

I will no longer be able to eat nuts.

I should expect my stool to be formed.

Answer and Explanation

The Correct Answer is B

I will notify my doctor if the stoma starts to look purple

The comment by the client indicating an understanding of the teaching is option B: "I will notify my doctor if the stoma starts to look purple."

I will irrigate the colostomy every day in (option A) is incorrect. Colostomy irrigation is not necessary for all clients with an ascending colostomy. It is important to individualize the teaching based on the client's specific needs and healthcare provider's instructions. Routine colostomy irrigation may not be required, and the client should follow the healthcare provider's guidance regarding colostomy care.

I will no longer be able to eat nuts in (option C) is incorrect. There are generally no dietary restrictions for clients with an ascending colostomy, unless otherwise advised by their healthcare provider. It is important to provide accurate information about dietary considerations, which may vary based on individual circumstances and healthcare provider recommendations.

I should expect my stool to be formed in (option D) is incorrect. With an ascending colostomy, the stool is typically liquid or semi-liquid as it comes from the ascending colon, which is higher in the gastrointestinal tract. The stool is not expected to be formed. It is important for the client to have appropriate expectations regarding stool consistency to manage their colostomy effectively.

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Correct Answer is B

Explanation

Applying pressure with gauze helps to control bleeding and promote clotting.

The other statements are not accurate or appropriate for circumcision care:

A. "I will apply antibiotic ointment to my baby's penis" is not recommended for Plastibell circumcision. The use of antibiotic ointment is not typically necessary or recommended unless specifically advised by the healthcare provider.

C. "I will wipe away yellow crusts that form around the incision" should not be done as it may disrupt the healing process. Yellow crusts are a normal part of the healing process and should be left undisturbed.

D. "I will make sure that my baby's diaper is applied snugly" is unrelated to circumcision care. While proper diapering is important for maintaining hygiene, it does not specifically address the care of the circumcision site.

A. Ask other group members to limit the number of times they speak. B. Allow the client extra time to think of a response. C. Appoint the client to lead the discussion. D. Tell the client to leave the group if they cannot contribute.

Correct Answer is ["A","B"]

Explanation

Silence can be a natural part of the group therapy process, and individuals may need additional time to process their thoughts and feelings before contributing. By allowing the client extra time, the nurse creates a non-threatening space for the client to participate when they are ready.

In some group settings, certain members might dominate the conversation, making it challenging for others to contribute. By requesting that other group members be mindful of their speaking time, the nurse helps create space for the silent client to share their thoughts and experiences.

The nurse can privately communicate with the silent client outside the group session to offer support and explore any concerns or barriers they may be experiencing. This individualized attention can help the client feel valued and encourage their participation in future sessions. Appointing the client to lead the discussion or telling them to leave the group if they cannot contribute are not appropriate actions. These approaches can increase the client's discomfort and create a negative atmosphere, which goes against the principles of group therapy. It is important to foster an inclusive and supportive environment that encourages participation at each person's pace.

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A nurse is reinforcing teaching for a client who has a new ascending colostomy. Which of the following comments by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about circumcision care with the parent of an infant who just underwent a Plastibell circumcision. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is assisting with a group therapy session and notes a client who remains silent. Which of the following actions should the nurse take?

Correct Answer is ["A","B"]

Explanation

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