A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

"You should scrub the skin around the colostomy when cleaning."

"You can use an adhesive remover when changing the colostomy skin barrier."

"You will need a device to suction stool from the colostomy bag."

"You should empty the colostomy bag when it is three-fourths full."

Answer and Explanation

The Correct Answer is B

b. "You can use an adhesive remover when changing the colostomy skin barrier."

The nurse should inform the client that they can use an adhesive remover when changing the colostomy skin barrier. Adhesive removers are helpful in gently removing the adhesive residue left behind by the previous ostomy appliance. This can make the process of changing the colostomy skin barrier more comfortable for the client and help prevent skin irritation or damage.

Explanation for the other options:

a. "You should scrub the skin around the colostomy when cleaning." Scrubbing the skin around the colostomy can be harsh and may cause skin irritation or damage. It is recommended to clean the peristomal skin gently using mild soap and water, followed by thorough drying.

c. "You will need a device to suction stool from the colostomy bag." Suctioning stool from the colostomy bag is not a routine procedure for colostomy care. Colostomy bags are designed to collect stool, and emptying the bag as needed is the appropriate method of management.

d. "You should empty the colostomy bag when it is three-fourths full." The timing of emptying the colostomy bag may vary for each individual. It is generally recommended to empty the colostomy bag when it is one-third to one-half full to prevent leakage or discomfort. The client should be educated on monitoring the bag and emptying it as necessary based on their own output and comfort level.

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Correct Answer is D

Explanation

Answer: D. "Clean the prosthesis using a damp, soapy cloth."

Rationale:

A. "Keep initial pressure dressing in place for 1 week after surgery":
The pressure dressing is typically changed more frequently to monitor the incision site for signs of infection and to ensure appropriate healing. Keeping it in place for a week without monitoring could increase the risk of infection and complications.

B. "Leave the prosthesis in place when going to bed":
It is generally recommended to remove the prosthesis at night to allow the residual limb to rest and prevent skin irritation or pressure sores. Leaving it on overnight can lead to unnecessary strain on the limb.

C. "Avoid extension of the hips when lying down":
Clients should actually avoid prolonged hip flexion, not extension, as it can lead to hip contractures. Instead, they should try to lie prone periodically to stretch the hip and reduce the risk of contracture formation.

D. "Clean the prosthesis using a damp, soapy cloth":
Using a damp, soapy cloth to clean the prosthesis helps maintain hygiene and prevents skin irritation. It's important to keep the prosthesis clean to avoid any buildup of bacteria or dirt, which can affect both the device and the residual limb’s health.

A. Start the first patch on the seventh day of the menstrual cycle. B. The contraceptive eﬀect will continue for 6 months following discontinuation of the medication C. Apply the patch to the lower abdomen D. Expect to have a headache during the first month

Correct Answer is C

Explanation

a. "Start the first patch on the seventh day of the menstrual cycle."

Explanation:

The correct answer is a. "Start the first patch on the seventh day of the menstrual cycle."

When providing teaching about a combination contraceptive transdermal patch, it is important to provide accurate and relevant information to ensure its eﬀectiveness and proper use.

Option b is not the correct answer. The contraceptive eﬀect of the transdermal patch does not continue for 6 months following discontinuation. Its eﬀectiveness lasts only as long as the client continues to use it according to the prescribed schedule.

Option c is not the correct answer. The transdermal patch should be applied to a clean, dry area of the skin that is free from cuts, rashes, or irritation. The lower abdomen is not a recommended site for application.

Option d is not the correct answer. While headaches can occur as a side eﬀect of hormonal contraceptives, it is not necessary to expect a headache during the first month. Side eﬀects can vary among individuals, and it is important to monitor and report any concerning symptoms to the healthcare provider.

By instructing the client to start the first patch on the seventh day of the menstrual cycle, the nurse provides specific guidance on when to initiate the contraceptive method. This ensures that the client is starting the patch at an appropriate time in their menstrual cycle, optimizing its eﬀectiveness

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A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

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