Nokea
An important point to remember when assisting urosto-mates with a pouch change is to
- A. scrub the peristomal skin with a deodorant soap
- B. cut the pouch opening approximately 3 mm larger than the stoma
- C. dry the skin thoroughly with alcohol wipes
- D. place aspirin in the bottom of the pouch to absorb odors
Correct Answer: B
Rationale: When assisting urosto-mates with a pouch change, it is important to cut the pouch opening approximately 3 mm larger than the stoma to prevent irritation and ensure a proper fit. This allows for a better seal and reduces the risk of leakage or skin damage. Scrubbing the peristomal skin with a deodorant soap, drying the skin with alcohol wipes, or placing aspirin in the pouch are not recommended practices and may lead to complications.
You may also like to solve these questions
Symptoms of prostate cancer include:
- A. Nocturia and intermittent stream of urination.
- B. Diminished force of urinary stream and urgency.
- C. Difficulty initiating stream of urine and frequency.
- D. All of the above.
Correct Answer: D
Rationale: Prostate cancer can cause a variety of urinary symptoms due to the enlargement or obstruction of the prostate gland. These include nocturia (frequent nighttime urination)
Which important functions of regulation of water balance and acid-base balance occur in the distal convoluted tubes of the nephron?
- A. Secretion of H+ into filtrate
- B. Reabsorption of water without ADH
- C. Reabsorption of Na+ in exchange for K+
- D. Reabsorption of glucose and amino acids
Correct Answer: A
Rationale: The distal convoluted tubules play a role in secreting H+ into the filtrate and reabsorption of water under ADH influence for regulation of water and acid-base balance.
Which characteristic is more likely with acute pyelonephritis than with a lower UTI?
- A. Fever
- B. Dysuria
- C. Urgency
- D. Frequency
Correct Answer: A
Rationale: The correct answer is A because fever is more commonly associated with acute pyelonephritis, which is an infection of the renal parenchyma, compared to lower UTIs that primarily affect the bladder and urethra. Dysuria, urgency, and frequency can occur in both types of UTIs but may be more severe in acute pyelonephritis.
A year after the diagnosis of hypothyroidism, Mrs. T. is admitted to the hospital in January in myxedema coma. Which of the following most probably accounts for this medical emergency?
- A. Hypothermia
- B. Failure to take thyroid medication
- C. Overdose of thyroid medication
- D. Failure to follow prescribed diet
Correct Answer: B
Rationale: Myxedema coma is a severe form of hypothyroidism that can occur due to the failure to take thyroid medication.
During the nursing assessment of the patient with renal insufficiency, the nurse asks the patient specifically about a history of
- A. angina
- B. asthma
- C. hypertension
- D. rheumatoid arthritis
Correct Answer: C
Rationale: Hypertension is a common complication of renal insufficiency and is important to assess as it can impact the progression of the disease and treatment options.