A nurse is reinforcing teaching about ostomy supplies with a client who has a new colostomy. Which of the following information should the nurse include?

Empty the pouch when it is 1/3 to 1/2 full.

Use a standard enema set to irrigate the colostomy.

Cleanse the skin surrounding the stoma with moisturizing soap.

Cut the opening in the skin barrier 1/4 inch larger than the stoma.

Answer and Explanation

The Correct Answer is A

A. Empty the pouch when it is 1/3 to 1/2 full: This prevents the weight of the pouch from causing leaks or pulling on the stoma.
B. Use a standard enema set to irrigate the colostomy: This is incorrect as a standard enema set is not typically used. Colostomy irrigation requires specific equipment and is not performed routinely.
C. Cleanse the skin surrounding the stoma with moisturizing soap: Moisturizing soap can leave a residue that interferes with adhesive barriers. Mild, non-moisturizing soap or just water should be used.
D. Cut the opening in the skin barrier 1/4 inch larger than the stoma: The opening should fit closely to the stoma to protect the surrounding skin from irritation and leakage.

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Correct Answer is D

Explanation

A. "There is no cure for MRSA.": MRSA infections can be treated with specific antibiotics.
B. "We will need to wear masks when we are in the hospital room.": Masks are not necessary for contact precautions unless there is an additional indication, such as droplet precautions.
C. "MRSA only occurs in health care facilities.": MRSA can occur in both community and healthcare settings.
D. "We should remove gloves before leaving the hospital room.": Gloves and gowns must be removed inside the room to prevent contamination of the hospital environment.

A. Open the splint B. Place the client on NPO status C. Place the client's right leg in a dependent position D. Obtain a urinalysis

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Open the splint: Reduces pressure and alleviates compartment syndrome.

Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).

Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.

Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.

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A nurse is reinforcing teaching about ostomy supplies with a client who has a new colostomy. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the family of a client who has methicillin-resistant Staphylococcus aureus (MRSA) of a leg wound and is on contact precautions. Which of the following statements by a family member indicates an understanding of the teaching?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

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