Nokea
A client with an ileal conduit reports skin irritation around the stoma. What should the nurse recommend?
- A. Apply a skin barrier cream.
- B. Use adhesive tape to secure the appliance.
- C. Clean the area with alcohol.
- D. Change the appliance daily.
Correct Answer: A
Rationale: A skin barrier cream protects the peristomal skin from urine irritation, promoting healing and preventing further breakdown.
You may also like to solve these questions
Which of the following individuals should the nurse consider to have the highest priority for receiving seasonal influenza vaccination?
- A. A 60-year-old man with a hiatal hernia.
- B. A 36-year-old woman with three children.
- C. A 50-year-old woman caring for a spouse with cancer.
- D. A 60-year-old woman with osteoarthritis.
Correct Answer: C
Rationale: The 50-year-old caring for an immunocompromised spouse is the highest priority for influenza vaccination to prevent transmission. Others have lower risk profiles.
Which dietary restriction is critical in acute renal failure?
- A. Low sodium.
- B. High protein.
- C. Low carbohydrate.
- D. High potassium.
Correct Answer: A
Rationale: Low sodium prevents fluid retention and hypertension in acute renal failure.
A client with cancer is admitted with suspected disseminated intravascular coagulation (DIC). Which laboratory finding supports this diagnosis?
- A. Prolonged prothrombin time (PT).
- B. Elevated hemoglobin.
- C. Normal platelet count.
- D. Decreased D-dimer.
Correct Answer: A
Rationale: DIC causes abnormal clotting and bleeding, leading to a prolonged prothrombin time (PT) due to consumption of clotting factors, supporting the diagnosis.
A client has a Pearson attachment on the traction setup. What is the purpose of this attachment?
- A. To support the lower portion of the leg.
- B. To support the thigh and upper leg.
- C. To allow attachment of the skeletal pin.
- D. To prevent flexion deformities in the ankle and foot.
Correct Answer: A
Rationale: The Pearson attachment supports the lower leg, maintaining alignment in balanced suspension traction.
The nurse is caring for a client with acute angle-closure glaucoma of the right eye. It would be correct to place the client in which position?
- A. Trendelenburg
- B. Supine
- C. Right lateral decubitus with head end elevated
- D. Prone
Correct Answer: B
Rationale: Supine position is appropriate for angle-closure glaucoma to avoid increasing intraocular pressure. Trendelenburg and prone positions may worsen pressure, and right lateral decubitus is not specific to this condition.