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.