Author Question: A nurse is pouching an ostomy on a patient with an ileostomy. Which action by the nurse is most ... (Read 19 times)

meagbuch · **on:** Jul 22, 2018

A nurse is pouching an ostomy on a patient with an ileostomy. Which action by the nurse is most appropriate?

a. Changing the skin barrier portion of the ostomy pouch daily
b. Selecting a pouch that is able to hold excess output to reduce the frequency of pouch emptying
c. Thoroughly scrubbing the skin around the stoma to remove excess stool and adhesive
d. Measuring the correct size for the barrier device while leaving a 1/8-inch space around the stoma

Question 2

As nurses continue to contextualize technology within the scope of their professional practice, what is the nursing issue with technology?

a. Computers
b. Management information systems
c. Information and information management
d. Order entry applications

nhea · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Selecting a pouch that holds a large volume of output will decrease the frequency of emptying the pouch and may ease patient anxiety about pouch overflow. The barrier device should be changed every few days unless it is leaking or is no longer effective. Peristomal skin should be gently cleansed; vigorous rubbing can cause further irritation or skin breakdown. Approximately 1/16 of an inch is present between the barrier device and the stoma. Excess space allows fecal matter to have prolonged exposure to skin, resulting in skin breakdown.

Answer to Question 2

C
The issues for nurses are no longer computers, or management information systems, but rather information and information management. The computer and its associated software are merely tools to support nurses as they practise their profession.
Computers are no longer an issue for nurses.
Management information systems are no longer an issue for nurses.
Order entry applications are a current technological application.