A charge nurse is supervising a newly licensed nurse who is changing an ostomy appliance for a client. The charge nurse should intervene for which of the following actions by the newly licensed nurse?

Cuts an opening in the skin barrier 0.32 cm (0.125 in) larger than the stoma

Applies a piece of gauze over the stoma after removing the old appliance

Cleanses the client's skin around the stoma with deodorant soap

Uses toilet tissue to remove stool from the client's skin around the stoma

Answer and Explanation

The Correct Answer is C

Rationale:

A. Cuts an opening in the skin barrier 0.32 cm (0.125 in) larger than the stoma: This is appropriate technique. Leaving a small gap allows the barrier to fit snugly without constricting the stoma, while preventing skin irritation or breakdown from contact with stoma output.

B. Applies a piece of gauze over the stoma after removing the old appliance: This is a good practice. Covering the stoma temporarily helps absorb any stool during the cleaning and preparation process, maintaining cleanliness and preventing soiling.

C. Cleanses the client's skin around the stoma with deodorant soap: Deodorant or antibacterial soaps can contain harsh chemicals and fragrances that irritate the skin or interfere with barrier adhesion. The skin should be cleaned with warm water or a mild, fragrance-free soap.

D. Uses toilet tissue to remove stool from the client's skin around the stoma: Using toilet tissue to wipe away stool is acceptable for initial cleaning. It can help remove bulk waste before using a washcloth or gauze for a more thorough cleansing.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:

A. The code of ethics does not provide moral guidance: The ANA Code of Ethics serves as a foundational document offering strong moral and ethical guidance for nurses in clinical practice, decision-making, and professional behavior across all settings.

B. The code of ethics is not legally binding: While it provides critical ethical standards and principles, the ANA Code of Ethics is not enforceable by law. It guides professional conduct but does not carry legal penalties unless violations overlap with legal statutes.

C. The code of ethics is determined by the nature of a client's health issues: Ethical obligations are consistent across client populations and are not dictated by specific diseases. Nurses are expected to uphold ethical principles for every client, regardless of health status.

D. The code of ethics is restricted by the client's economic status: Economic status does not influence a nurse’s ethical obligations. The code emphasizes equitable care and respect for all individuals, regardless of their financial or social background.

A. "The Code varies in each of the 50 states." B. "The Code provides a framework for assessing specific ethical dilemmas." C. "The Code guides professional nursing behavior." D. "The Code states that a nurse's first accountability is to the nurse's employer."

Correct Answer is C

Explanation

Rationale:

A. "The Code varies in each of the 50 states.": The Code of Ethics for Nurses is a national document developed by the American Nurses Association (ANA) and does not change from state to state. The Code is consistent across the profession.

B. "The Code provides a framework for assessing specific ethical dilemmas.": The Code offers general ethical principles, not case-specific solutions. It serves as a foundational guide for professional conduct rather than a decision-making tool for individual dilemmas.

C. "The Code guides professional nursing behavior.": The ANA Code of Ethics outlines core values and responsibilities of the nursing profession. It serves as a moral compass, guiding nurses in ethical practice, accountability, patient advocacy, and integrity across all care settings.

D. "The Code states that a nurse's first accountability is to the nurse's employer.": The Code emphasizes that a nurse's primary commitment is to the patient, not the employer. Nurses are expected to advocate for patient well-being and uphold ethical standards, even if they conflict with institutional policies.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A charge nurse is supervising a newly licensed nurse who is changing an ostomy appliance for a client. The charge nurse should intervene for which of the following actions by the newly licensed nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the American Nurses Association's code of ethics with a newly licensed nurse. Which of the following information should the nurse include in the discussion?

Correct Answer is B

Explanation

A nurse educator is teaching about the Code of Ethics for Nurses to a group of newly licensed nurses. Which of the following statements should the nurse include?

Correct Answer is C

Explanation

A nurse is assessing a client who has a dysrhythmia and is taking propranolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

A nurse is assessing a client who is postoperative following a sigmoid colostomy. Which of the following resources should the nurse use to predict the client's progress during the course of his hospitalization?

A nurse is developing a plan of care for a client who has a head injury. Which of the following interventions should the nurse include in the plan to prevent the client from experiencing an increase in intracranial pressure? (Select all that apply.)

A charge nurse is preparing assignments for a licensed practical nurse (LPN). Which of the following tasks should the nurse assign to the LPN?

A nurse is participating on a quality improvement committee to develop a plan to reduce medication errors at the facility. After formulating a proposed change in medication administration practice, which of the following steps should the committee take next?

A nurse is caring for a client who has undergone lumbar spinal surgery for degenerative disk disease. Which of the following interventions should the nurse identify as the priority?

A nurse is caring for a client who has acute respiratory distress syndrome and is receiving mechanical ventilation. The client is restless and has an oxygen saturation of 90%. Which of the following actions should the nurse take first?

A nurse is assessing a client who has a deep-vein thrombosis and experiences a sudden onset of dyspnea. The nurse should identify that which of the following findings indicates the client is experiencing a pulmonary embolism?