A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?

will use a skin sealant before I apply the bag."

will use moisturizing soap to clean around the stoma before applying the bag."

will cut the wafer opening one-fourth of an inch larger than the stoma

1 will need to empty the bag every 4 to 6 hours."

Answer and Explanation

The Correct Answer is A

Choice A Reason:

"I will use a skin sealant before I apply the bag." This statement is appropriate. Using a skin sealant before applying the ostomy bag helps protect the skin around the stoma, creating a barrier against irritation and potential leaks from the stool. It demonstrates the client's understanding of preventive measures to maintain skin integrity.

Choice B Reason:

"I will use moisturizing soap to clean around the stoma before applying the bag." This statement is inappropriate. While keeping the area around the stoma clean is important, using moisturizing soap might not be recommended as it can leave residue and interfere with the adhesive properties of the bag. Typically, mild soap and water are recommended for cleansing.

Choice C Reason:

"I will cut the wafer opening one-fourth of an inch larger than the stoma." This statement is incorrect. Cutting the wafer opening one-fourth of an inch larger than the stoma might result in an excessively large opening, potentially leading to leaks or irritation. The ideal size is generally recommended to be as close to the stoma size as possible without causing pressure on the stoma.

Choice D Reason:

"I will need to empty the bag every 4 to 6 hours." This statement is incorrect. While regular emptying of the ostomy bag is necessary, the frequency can vary based on individual needs and stoma output. Some individuals might need to empty it more frequently or less often, depending on their stool output and comfort level.

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Free Nursing Study Resources

Correct Answer is ["A"]

Explanation

a. Have the client wear a surgical mask during transport. This is the appropriate intervention to prevent the spread of the influenza virus when the client needs to be transported within the healthcare facility. Influenza is primarily spread through respiratory droplets, so wearing a surgical mask helps to contain these droplets.
b. Wear an N95 mask while providing care to the client. An N95 mask is generally not required for influenza. Standard precautions, including wearing a surgical mask when within close proximity to the client, are usually sufficient.
c. Administer an influenza immunization to the client. It is not appropriate to administer the influenza vaccine to a client who is already infected with the influenza virus.
d. Place the client in a negative airflow room. Negative airflow rooms are typically reserved for airborne diseases such as tuberculosis. Influenza, which spreads via droplets, does not require this level of isolation.

Correct Answer is ["10"]

Explanation

Given:

Diphenhydramine syrup: 12.5 mg/5 MLX

Required dose: 25 mg

First, determine the ratio of the available dosage strength to the required dose:

12.5 mg (available dose) / 5 mL (volume) = 25 mg (required dose) / X mL

Cross-multiply to find X (the amount of syrup needed):

12.5 mg X mL = 25 mg 5 mL

Now, solve for X:

X = (25 mg 5 mL) / 12.5 mg

X = 125 / 12.5

X = 10

Therefore, the nurse should administer 10 mL of diphenhydramine syrup to provide a dose of 25 mg to the older adult client with rhinitis.

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A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has influenza. Which of the following interventions should the nurse include in the plan?

Correct Answer is ["A"]

Explanation

Correct Answer is ["10"]

Explanation

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