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Author Question: An elderly patient was admitted to the hospital after falling in the nursing home. The patient has a ... (Read 117 times)

sheilaspns

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An elderly patient was admitted to the hospital after falling in the nursing home. The patient has a fractured right femur and is awaiting surgery. The surgeon orders bed rest. The patient asks the nurse what this means.
 
  What is the nurse's best explanation? a. You are to be immobile.
  b. You cannot move.
  c. You need restraints.
  d. You have to remain in bed.

Question 2

A patient with colon cancer has recently undergone surgery to remove a portion of the colon. The patient asks how often the colostomy pouching system should be changed. What is the best response by the nurse?
 
  a. Every 3 to 7 days
  b. Every 10 to 14 days
  c. When the pouch is one third to one half full of stool
  d. Not until the system starts to leak or smell bad



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kusterl

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Answer to Question 1

D
A patient's mobility can be restricted for therapeutic reasons, such as when bed rest is ordered. Therapeutic reasons for bed rest include decreasing the body's oxygen needs, reducing cardiac workload, reducing pain, and allowing the debilitated or ill patient to rest. The duration of bed rest depends on the type and nature of the illness or injury and the patient's prior state of health. Bed rest does not mean immobile, cannot move, or that restraints are needed.

Answer to Question 2

A, C
An ostomy is managed with an odor-proof pouch with a skin barrier surrounding the stoma. Empty the pouch when it is one third to one half full. Change the pouching system approximately every 3 to 7 days, depending upon the patient's individual needs.





 

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