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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Emptying the appliance daily at bedtime is not frequent enough to prevent leakage and ensure comfort, especially if the bag fills up during the day or night.
Choice B reason: Emptying the appliance twice a day may not be sufficient, depending on the amount of urine output. It could lead to overfilling and leakage.
Choice C reason: Waiting until the bag is full can increase the risk of leakage and discomfort. It is essential to empty the bag before it gets too full.
Choice D reason: Emptying the appliance when it is 2/3 full is the recommended practice. This prevents overfilling, reduces the risk of leakage, and ensures the client's comfort and hygiene.

A. Limit drinking milk. B. Limit strenuous exercise. C. Take NSAIDs for pain. D. Avoid drinking alcohol.

Correct Answer is D

Explanation

Choice A reason: Limiting milk intake is not typically necessary for managing gastritis unless the patient has lactose intolerance or a specific reaction to dairy. The focus should be on avoiding substances that irritate the stomach lining.
Choice B reason: Limiting strenuous exercise is generally not related to managing gastritis. Exercise can actually help with overall health, including digestive health, as long as it is not causing direct discomfort.
Choice C reason: Taking NSAIDs is counterproductive for a patient with gastritis, as NSAIDs can irritate the stomach lining and exacerbate symptoms. Patients are usually advised to avoid NSAIDs.
Choice D reason: Avoiding alcohol is crucial for managing gastritis, as alcohol can irritate and erode the stomach lining, leading to increased inflammation and pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance:

Correct Answer is D

Explanation

A nurse is providing teaching for a client who has experienced an acute episode of gastritis. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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