A patient underwent surgery 3 days ago for colorectal cancer. The patient's critical pathway states that he should participate in a teaching session with the wound ostomy nurse to learn colostomy self-care.
The patient appears depressed and refuses to look at the colostomy or even make eye contact. How should the nurse proceed?
1) Postpone the teaching session until the patient is more receptive.
2) Follow the critical pathway for patient teaching
3) Administer a prescribed antidepressant and notify the physician.
4) Explain to the patient the importance of skin care around the ostomy site.
Question 2
The nurse is using electronic care planning. He enters the patient's nursing diagnosis into the computer and chooses desired outcomes.
He has validated his data, diagnosis, and goals. When he considers the list of interventions the program generates, he sees that none of them fit this patient's individual needs. What should the nurse do?
1) Reject them all and type in appropriate interventions.
2) Select the interventions from the program that are most suitable.
3) Ask another nurse to assess the patient and give her recommendation.
4) Restart the computer; it is probably a program malfunction.
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