A nurse cares for a client who states, My husband is repulsed by ...

[melina_rosy]

A nurse cares for a client who states, My husband is repulsed by my colostomy and refuses to be intimate with me. How should the nurse respond?
 
  a. Let's talk to the ostomy nurse to help you and your husband work through this.
  b. You could try to wear longer lingerie that will better hide the ostomy appliance.
  c. You should empty the pouch first so it will be less noticeable for your husband.
  d. If you are not careful, you can hurt the stoma if you engage in sexual activity.

Question 2

An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas across the client's lower abdomen. Which action should the nurse take first?
 
  a. Measure the client's abdominal girth.
  b. Assess for abdominal guarding or rigidity.
  c. Check the client's hemoglobin and hematocrit.
  d. Obtain the client's complete health history.

[ally]

Answer to Question 1

ANS: A
The nurse should collaborate with the ostomy nurse to help the client and her husband work through intimacy issues. The nurse should not minimize the client's concern about her husband with ways to hide the ostomy. The client will not hurt the stoma by engaging in sexual activity.

Answer to Question 2

ANS: B
On noticing the ecchymotic areas, the nurse should check to see if abdominal guarding or rigidity is present, because this could indicate major organ injury. The nurse should then notify the provider. Measuring abdominal girth or obtaining a complete health history is not appropriate at this time. Laboratory test results can be checked after assessment for abdominal guarding or rigidity.

[melina_rosy]

Gracias!

[smrtceo]

TYSM