Author Question: A client has undergone a colostomy and is wearing an ostomy pouch at the beltline. What should the ... (Read 111 times)

Kthamas · **on:** Jul 16, 2018

A client has undergone a colostomy and is wearing an ostomy pouch at the beltline.
What should the nurse include in the client education?

A) Avoid lifting heavy weights for about 2 months
B) Avoid lifting weights heavier than 10 pounds
C) Avoid swimming and taking a shower
D) Avoid drinking Gatorade and broth

Question 2

A client in the first stage of labor has an episode of bright-red bleeding. What is the best action for the nurse to take?

A) Perform a vaginal examination per protocol.
B) Report any bleeding at once.
C) Perform an ultrasound examination, as ordered.
D) Inject vitamin K, as ordered, to stop bleeding.

nixon_s · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

A

Answer to Question 2

B
Feedback:
The nurse should report any bright-red bleeding at once. A client who is bleeding should never be examined vaginally until ultrasound rules out placenta previa. The practitioner, not the nurse, should do an ultrasound examination. Vitamin K is given to the newborn to reduce the infant's chances of bleeding. However, the nurse cannot inject vitamin K into the client in labor unless specifically directed by the primary care provider.