Quiz 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?
"You may experience a small amount of bleeding around the stoma."
A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?
assist the client to the left Sims' position
A nurse is preparing to start a blood transfusion. Which type of tubing will the nurse obtain?
One with a filter to ensure that clots do not enter the patient
A nurse is administering a blood transfusion. Which assessment finding will the nurse report immediately?
Temperature 101.3° F
Which client will the nurse assess most closely for an ileus?
a patient with surgery for bowel disease and anesthesia
A nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The nurse auscultates crackles in both lung bases and sees jugular vein distention. On which transfusion complication will the nurse focus interventions?
fluid volume excess
A client reports that he has been passing black stools for the last few days. Which findings from the client's health history does the nurse NOT consider as possible causes?
hemorrhoids
A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
pasta
The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should report which assessment finding immediately?
stoma is purple
A nurse is assisting with the implementation of a bowel training program for a client. For the program, to be effective the client should be taken to the bathroom at which of the following?
when the client has the urge to defecate
