Author Question: The nurse is providing instruction to the parents of an infant with a colostomy. Which statement by ... (Read 79 times)

Mollykgkg · **on:** Jun 28, 2018

The nurse is providing instruction to the parents of an infant with a colostomy. Which statement by the parents' indicates appropriate understanding of the teaching session?

1. We will change the colostomy bag with each wet diaper.
2. We will use adhesive enhancers when we change the bag.
3. We will watch for skin irritation around the stoma.
4. We will expect a moderate amount of bleeding after cleansing the area around the stoma.

Question 2

The nurse is administering several medications to an infant with neurologic impairment and delay. Which medication is a proton pump inhibitor that is administered for gastroesophageal reflux?

1. Omeprazole
2. Ranitidine
3. Phenytoin
4. Glycopyrrolate

wshriver · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Skin irritation around the stoma should be assessed; it may indicate leakage. Physical or chemical skin irritation may occur if the appliance is changed too frequently or with each wet diaper. Adhesive enhancers should be avoided on the skin of newborns. Their skin layers are thin, and removal of the appliance can strip off the skin. Also, adhesive contains latex, and its constant use is not advised due to risk of latex allergy development. Bleeding is usually attributable to excessive cleaning.

Answer to Question 2

Correct Answer: 1
Rationale: Omeprazole is the proton pump inhibitor that blocks the action of acid-producing cells and is used to treat gastroesophageal reflux. Ranitidine causes the stomach to produce less acid and may be used to treat gastroesophageal reflux, but it is a histamine-2 receptor blocker. Phenytoin is an anticonvulsant used to treat seizures, and glycopyrrolate is an anticholinergic agent used to inhibit excessive salivation.