This topic contains a solution. Click here to go to the answer

Author Question: The nurse is caring for a patient who had a colostomy placed 5 days earlier. The nurse notes that ... (Read 167 times)

NguyenJ

  • Hero Member
  • *****
  • Posts: 516
The nurse is caring for a patient who had a colostomy placed 5 days earlier. The nurse notes that the stoma is red and moist. Which action should the nurse take?
 
  a. Notify the physician immediately.
  b. Apply pressure.
  c. Note the condition of the stoma in her notes.
  d. Change the appliance pouch.

Question 2

In caring for a patient who has an abdominal binder, it is expected that the nurse will do which of the following? (Select all that apply.)
 
  a. Remove the binder and assess the skin and wound every 8 hours.
  b. Evaluate the patient's ability to breathe deeply and cough effectively every 4 hours.
  c. Evaluate the patient's pulmonary function every 8 hours.
  d. Remove the binder at least daily.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pocatato

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

C
The stoma should be red or pink and moist. After assessment the nurse will note the appearance of the stoma in the patient HER. If it is gray, purple, or black, report this to the charge nurse or physician immediately. Pressure is applied to control active bleeding. The information given in the question does not indicate that there is a need to change the appliance at this time.

Answer to Question 2

A, B
Remove the binder and surgical dressing to assess the skin and wound characteristics every 8 hours to determine that the binder has not resulted in complications (e.g., rubbing or abrasion of skin, disruption of wound). Evaluate the patient's ability to ventilate properly, including deep breathing and coughing, every 4 hours to help identify any impaired ventilation. A properly applied binder will have no impact on pulmonary function.




NguyenJ

  • Member
  • Posts: 516
Reply 2 on: Jun 25, 2018
Wow, this really help


carlsona147

  • Member
  • Posts: 341
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Recent studies have shown that the number of medication errors increases in relation to the number of orders that are verified per pharmacist, per work shift.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

For a complete list of videos, visit our video library