Exam 3: NSG320 / NSG 320 (Latest
Update 2024 / 2025) Adult Health Nursing I Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU
Question:
what is the nurse's role for a client with an ostomy bag?
Answer:
(1) patient and caregiver teaching about ostomy care and (2) emotional support as the patient copes with a change in body image
Question:
when should the nurse teach the client to empty their ostomy bag?
Answer:
when they are 1/3 full
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Question:
what can the nurse delegate to the AP for a client who has an ostomy
Answer:
empty ostomy bag and measure liquid contents, place a new ostomy pouch, assist stable patient with ostomy irrigation
Question:
food and eating habits for a client with an ostomy bag
Answer:
well-balanced diet, vitamin supplements, low fiber, at least 3L of water/day,
chew food very well, avoid gassy foods at first:
- no seeds/nuts
- no broccoli, cauliflower, brussel sprouts
- no beans
- no mulitgrain bread
- no eggs
- no dairy
Question:
the nurse is changing the ostomy pouch, what is necessary?
Answer:
assess the skin for irritation, do not allow feces to remain on the skin, cleanse the skin in between pouch changes 2 / 3
Question:
diverticula vs diverticulitis
Answer:
diverticula are outpouchings in weak spots of the colon while diverticulitis is inflammation of the pouches which can lead to perforation
Question:
nursing management of client with diverticulitis
Answer:
high fiber diet, teach smoking cessation, NPO status until they are able to tolerate a clear liquid diet, IV fluids, analgesics. monitor vital signs and assess for signs of bleeding, abscess or peritonitis. NG suctioning q4hr. teach client to avoid straining
Question:
what is a risk for clients with an ostomy?
Answer:
fluid and electrolyte loss - the nurse must assess for imbalances
Question:
when is immune globulins used for hepatitis?
Answer:
administered 1-2 weeks after exposed
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