A patient with a colostomy says, “My pouch blows up like a balloon when I pass gas.”. What is an appropriate response by the nurse?

“Empty the gas like you would if the pouch was full of stool.”.

“Peel back a tiny corner of the skin barrier to allow gas to escape.”.

“Make a tiny pinhole in the top of the pouch to let air out.”.

“Remove the pouch and put on a new one when it gets too full of gas.”. .

Answer and Explanation

The Correct Answer is B

Choice A rationale
While emptying the gas from the pouch like you would if the pouch was full of stool might seem like a logical solution, it is not the most appropriate response. This could potentially lead to messiness and odor, which could cause embarrassment and discomfort for the patient.
Choice B rationale
Peeling back a tiny corner of the skin barrier to allow gas to escape is the most appropriate response. This allows the gas to be released in a controlled manner, reducing the risk of the pouch becoming too full and uncomfortable for the patient. It also minimizes the risk of odor and messiness.
Choice C rationale
Making a tiny pinhole in the top of the pouch to let air out is not recommended. This could potentially lead to leakage of stool, causing messiness and odor. It could also damage the pouch, requiring it to be replaced more frequently.
Choice D rationale
Removing the pouch and putting on a new one when it gets too full of gas is not the most appropriate response. This could be inconvenient for the patient and could potentially lead to skin irritation from frequent changes. It also does not address the issue of the pouch filling with gas.

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Free Nursing Study Resources

Correct Answer is ["0.5"]

Explanation

Step 1: The available dose of epinephrine is 0.5 mg in 0.5 mL.

Step 2: The patient needs to administer 0.5 mg of epinephrine.

Step 3: Since the available dose is 0.5 mg/0.5 mL, for 0.5 mg of epinephrine, the patient should be taught to administer 0.5 mL1.

A. Handling the cast with the palms of the hands. B. Drying the cast with a hair dryer. C. Keeping the left leg in a dependent position. D. Covering the patient’s legs with a blanket.

Correct Answer is A

Explanation

Choice A rationale
Handling the cast with the palms of the hands is recommended, especially when the cast is still wet and not fully hardened. This helps to avoid indentations and pressure points that could lead to discomfort or skin complications.
Choice B rationale
Drying the cast with a hair dryer is not typically recommended. Excessive heat can cause the cast material to weaken and can also burn the skin.
Choice C rationale
Keeping the casted leg in a dependent position is not recommended. This can lead to increased swelling and discomfort.
Choice D rationale
Covering the patient’s legs with a blanket is not specifically related to the care of a fresh cast. While it may provide comfort, it does not have a direct impact on the care or outcome of the cast.

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A patient with a colostomy says, “My pouch blows up like a balloon when I pass gas.”. What is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a patient on how to administer 0.5 mg of epinephrine intramuscularly. If the available dose is 0.5 mg/0.5 mL, how many mL should the patient be taught to administer?

Correct Answer is ["0.5"]

Explanation

A patient has recently had a cast applied to their left lower extremity. Which of the following is included in the nursing care of this fresh cast?

Correct Answer is A

Explanation

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