A nurse is assessing an older client. Which of the following findings should the nurse expect? a.
Decreased sense of balanced
b. Increased nighttime
... [Show More] sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
CORRECT ANSWER a. Decreased sense of balanced
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which
of the following instructions should the nurse include in the teaching? (SATA) a. Cut the opening of the
pouch ½ of an inch larger than the stoma
b. Place a piece a gauze over the sotma while changing the pouch
c. Use povidone-iodine to clean around the stoma
d. Empty the ostomy pouch when it becomes one-third full of contents
e. Expect the stoma to turn a purple blue color as it heals
CORRECT ANSWER
a. Cut the opening of the pouch ½ of an inch larger than the stoma
b. Place a piece a gauze over the sotma while changing the pouch
c. Use povidone-iodine to clean around the stoma
d. Empty the ostomy pouch when it becomes one-third full of contents
A nurse is preparing to obtain informed consent from a client who speaks a different language than the
nurse. Which of the following actions should the nurse take?
a. Request that an assistive personnel interpret the information for the client
b. Use proper medical terms when giving information to the client
c. Offer written information in the client's language
d. Avoid using gestures when speaking to the client
CORRECT ANSWER c. Offer written information in the client's language
A nurse is teaching a client about home care equipment. Which of the following information should the
nurse include in the teaching? (select all that apply)
a. Avoid using wool blankets when receiving oxygen
b. Keep the oxygen delivery system 0.6m from any heat source
c. Check the oxygen delivery rate at least once a day
d. Align the middle of the ball in the flow meter with the line of the prescribed flow rate
e. Lay the oxygen mask tank flat when storing
CORRECT ANSWER
a. Avoid using wool blankets when receiving oxygen
b. Keep the oxygen delivery system 0.6m from any heat source
c. Check the oxygen delivery rate at least once a day [Show Less]