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 A

Explanation

Choice A reason: Mr. Smith requires immediate attention due to his multiple sclerosis and severe symptoms of chills, fatigue, and a high fever (103°F). These symptoms could indicate a severe infection such as a urinary tract infection (UTI) or even sepsis, which can be life-threatening, especially in individuals with a compromised immune system or chronic conditions like multiple sclerosis.
Choice B reason: Ms. Jones's dry mouth is a common side effect of Ditropan (oxybutynin), which is used to treat urinary frequency and urgency. While it is uncomfortable, it is not an emergency and can be addressed at the next visit or over a phone consultation.
Choice C reason: Mr. Jones, being a new patient with incontinence concerns, does not present an immediate emergency. This issue, while significant for his quality of life, can be managed through a scheduled appointment.
Choice D reason: Ms. Smith's decision to cancel her appointment due to her symptoms not being severe does not require immediate attention. She can be rescheduled for a later date without risk to her health.

A. "I will have a glass of juice the morning of my surgery." B. "I will take time to relax if I get nervous the night before surgery." C. "I will be able to eat solid food when I wake up from anesthesia." D. "I understand what risks to expect with this surgery."

Correct Answer is C

Explanation

Choice A reason: Having a glass of juice the morning of surgery may not be allowed, depending on the preoperative fasting guidelines. This statement could indicate a need for further clarification on preoperative instructions, but it is less critical than the misconception about eating solid food postoperatively.
Choice B reason: Taking time to relax if nervous the night before surgery is a healthy coping mechanism and does not indicate a lack of understanding about the surgery.
Choice C reason: The belief that the client will be able to eat solid food immediately after waking up from anesthesia is incorrect and indicates a need for further teaching. Postoperative dietary restrictions are typically in place, starting with clear liquids and gradually progressing to solid foods as tolerated.
Choice D reason: Understanding the risks associated with the surgery indicates that the client has received and comprehended the relevant information about the procedure.

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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

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Correct Answer is A

Explanation

A nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further teaching?

Correct Answer is C

Explanation

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