Author Question: After teaching a client who has a new colostomy, the nurse provides feedback based on the client's ... (Read 74 times)

geodog55 · **on:** Jun 25, 2018

After teaching a client who has a new colostomy, the nurse provides feedback based on the client's ability to complete self-care activities. Which statement should the nurse include in this feedback?

a. I realize that you had a tough time today, but it will get easier with practice.
b. You cleaned the stoma well. Now you need to practice putting on the appliance.
c. You seem to understand what I taught you today. What else can I help you with?
d. You seem uncomfortable. Do you want your daughter to care for your ostomy?

Question 2

After teaching a client who has diverticulitis, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

a. I'll ride my bike or take a long walk at least three times a week.
b. I must try to include at least 25 grams of fiber in my diet every day.
c. I will take a laxative nightly at bedtime to avoid becoming constipated.
d. I should use my legs rather than my back muscles when I lift heavy objects.

cici · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The nurse should provide both approval and room for improvement in feedback after a teaching session. Feedback should be objective and constructive, and not evaluative. Reassuring the client that things will improve does not offer anything concrete for the client to work on, nor does it let him or her know what was done well. The nurse should not make the client convey learning needs because the client may not know what else he or she needs to understand. The client needs to become the expert in self-management of the ostomy, and the nurse should not offer to teach the daughter instead of the client.

Answer to Question 2

ANS: C
Laxatives are not recommended for clients with diverticulitis because they can increase pressure in the bowel, causing additional outpouching of the lumen. Exercise and a high-fiber diet are recommended for clients with diverticulitis because they promote regular bowel function. Using the leg muscles rather than the back for lifting prevents abdominal straining.