A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?
Question-and-answer
Discussion
Role play
Return demonstration
The Correct Answer is B
Choice A reason: A question-and-answer session might provide information but does not specifically encourage the client to share their feelings and concerns about the colostomy. It's more about imparting knowledge rather than addressing emotional needs.
Choice B reason: Discussion is an effective strategy to encourage the client to share their feelings about the colostomy. It creates an open environment for expressing concerns, asking questions, and receiving emotional support.
Choice C reason: Role play can be useful in teaching new skills or preparing for specific situations, but it might not be the best initial approach for someone struggling to accept a new colostomy. Emotional readiness and comfort should be addressed first.
Choice D reason: Return demonstration is a method to confirm the client's understanding of a procedure by having them perform it. It is more appropriate for assessing practical skills rather than addressing emotional concerns and readiness to engage with the stoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Magnesium levels are not typically elevated in acute pancreatitis. Abnormalities in magnesium levels are more often related to other conditions such as kidney disease.
Choice B reason: Calcium levels are often decreased, not elevated, in acute pancreatitis due to fat necrosis binding calcium.
Choice C reason: Amylase levels are typically elevated in acute pancreatitis because the pancreas releases this enzyme during inflammation. Elevated amylase is a key diagnostic marker for pancreatitis.
Choice D reason: RBC count is not typically elevated in acute pancreatitis. Changes in RBC count are more indicative of other conditions like anemia or dehydration.
Correct Answer is B
Explanation
Choice A reason: Tenderness in the left upper abdomen is not typically associated with an obstruction of the common bile duct. Pain and tenderness would more commonly be located in the right upper quadrant of the abdomen, where the liver and gallbladder are situated.
Choice B reason: Fatty stools (steatorrhea) are a common finding in bile duct obstruction. The lack of bile entering the intestine prevents the digestion and absorption of fats, leading to pale, greasy stools that float.
Choice C reason: Straw-colored urine is normal and does not indicate a bile duct obstruction. In cases of bile duct obstruction, the urine is often dark-colored due to the excretion of bilirubin.
Choice D reason: Ecchymosis of the extremities is not related to bile duct obstruction and is more indicative of bleeding disorders or trauma.
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