Author Question: MC The client has a score of 12 on the Norton Scale for assessing the risk for developing a pressure ... (Read 63 times)

Yolanda · **on:** Jul 24, 2018

MC The client has a score of 12 on the Norton Scale for assessing the risk for developing a pressure ulcer. What does this indicate?

A. No risk for ulcer development
B. High risk for ulcer development
C. Some risk for ulcer development
D. Highly unlikely an ulcer will develop

Question 2

In caring for a patient who has a pouching for a noncontinent urinary diversion, which nursing intervention is essential?

a. Empty the pouch when it is one-third to one-half full.
b. Remove the ureteral stents after 2 days.
c. Pouch the stoma with the patient sitting up.
d. Dispose of used pouches in the toilet.

Rilsmarie951 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C

Answer to Question 2

A
Empty pouches when they are one-third to one-half full so that the weight of the pouch does not disrupt the seal. A surgeon places the stents; these will be removed during the hospital stay or at the first postoperative visit with the surgeon. Place the patient in a semi-reclining position. If possible, provide the patient a mirror for observation. Properly dispose of used pouches and soiled equipment according to facility policy.