Author Question: A nurse is assessing the stoma of a client with an ostomy. Which of the following interventions ... (Read 53 times)

wrbasek0 · **on:** Jul 22, 2018

A nurse is assessing the stoma of a client with an ostomy. Which of the following interventions should the nurse perform when providing peristomal care to the client to preserve skin integrity?

A) Wash it with soap and water.
B) Avoid using commercial skin preparations.
C) Rub it clean with a dry cotton bandage.
D) Avoid applying a barrier substance.

Question 2

The nurse is performing a physical assessment of an elderly female client. The nurse documents scoliosis as part of the spinal assessment. What is scoliosis?

A) Gentle concave and convex curves of the spine
B) An exaggerated lumbar curve of the spine
C) An increased curve in the thoracic area
D) A pronounced lateral curvature of the spine

wfdfwc23 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
Washing the stoma and surrounding skin with mild soap and water and patting it dry can preserve skin integrity. Another way to protect the skin is to apply barrier substances such as karaya, a plant substance that becomes gelatinous when moistened, and commercial skin preparations around the stoma. Cleaning the stoma with just a dry cotton bandage is not the correct way of preserving skin integrity.

Answer to Question 2

D
Feedback:
Scoliosis is a pronounced lateral curvature of the spine. The normal spine appears in midline with gentle concave and convex curves when viewed from the side. Lordosis is a condition in which the natural lumbar curve of the spine is exaggerated. Kyphosis is an increased curve in the thoracic area.