Author Question: MC When assessing a client's stoma, the nurse notices it appears dark and dusky colored. The initial ... (Read 133 times)

cdr_15 · **on:** Jul 24, 2018

MC When assessing a client's stoma, the nurse notices it appears dark and dusky colored. The initial intervention is to

A. Do nothing, as this is normal.
B. Document findings and continue to assess the stoma.
C. Replace the pouch with a different type, as this is an allergic reaction.
D. Notify the physician that the stoma is not receiving adequate oxygen supply.

Question 2

Abduction of the shoulder joint is accomplished when a nurse moves a client's arm:

A. Above the shoulder
B. Up from the side
C. Forward and up over the head
D. As far as possible straight behind the client

itsakadoozi · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D

Answer to Question 2

B
A, B, C, and D. Shoulder abduction: Raise arm to side to position above head with palm turned away from head (ROM: 180 degrees).