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
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.
Which intervention should you delegate to the nursing assistant for a patient with cystitis?
- A. Show the patient how to secure a clean-catch urine sample.
- B. Check the patient's urine for color, odor, and sediment.
- C. Review the nursing care plan and add nursing interventions.
- D. Provide the patient with a clean-catch urine sample container.
Correct Answer: C
Rationale: Reviewing the nursing care plan and adding nursing interventions can be delegated to the nursing assistant as it does not involve any complex medical procedures or decision-making.
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.
Water intoxication may result from absorption of excessive bladder irrigation solution after surgery. Which of the following symptoms might indicate water intoxication is developing?
- A. Confusion and restlessness
- B. Increased serum sodium concentration
- C. Cool, clammy skin
- D. Marked peripheral edema
Correct Answer: A
Rationale: Confusion and restlessness are common symptoms of water intoxication. Monitoring for these signs is crucial in detecting and managing water intoxication promptly to prevent further complications.