Author Question: A nurse is changing the ostomy appliance of a client who had her ostomy created several days ago ... (Read 55 times)

Marty · **on:** Jul 22, 2018

A nurse is changing the ostomy appliance of a client who had her ostomy created several days ago following a hemicolectomy.

The nurse has measured the size of the client's stoma and is trimming the new faceplate to ensure comfort and adequate adhesion. The opening in the faceplate should be A) 1/8 to 1/4 in. larger than the diameter of the stoma
B) The same size as the client's stoma
C) Slightly smaller than the diameter of the client's stoma
D) 1/2 to 1 in. smaller than the measured diameter

Question 2

A nurse is preparing to conduct a basic physical assessment of a client who has just been admitted to the unit. What equipment will the nurse require in order to perform this assessment?

A) Pen light or flashlight
B) Doppler ultrasound
C) Bladder scanner
D) Syringe

xoxo123 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
To avoid pinching of or pressure on the stoma and causing circulatory impairment, the nurse should trim the opening in the faceplate to the measured diameter plus approximately 1/8 to 1/4 in. larger.

Answer to Question 2

A
Feedback:
A penlight or flashlight is necessary to gauge pupillary response and to visualize the client's mouth. Doppler ultrasound, a bladder scanner and a syringe are not necessary in order to perform a basic physical assessment.