A nurse is reinforcing teaching with a client who is postoperative after having an

ileostomy established. Which of the following instructions should the nurse include

in the teaching?

A. Empty the pouch immediately after meals.

B. Change the entire appliance once a day.

C. Limit fluid intake.

D. Avoid medications in capsule or enteric form.

A nurse is contributing to the plan of care for a client who has an intestinal

obstruction and is receiving continuous gastrointestinal decompression using a

nasogastric tube. Which of the following interventions should the nurse include in

the plan of care?

A. Measure abdominal girth daily.

B. Use sterile water to irrigate the nasogastric tube. term-3

C. Maintain the client in Fowler's position.

D. Moisten the client's lips with lemon-glycerine swabs.

A nurse is reviewing the plan of caring for a client who has cellulitis of the leg.

Which of the following interventions should the nurse recommend?

A. Apply topical antifungal agents.

B. Apply fresh ice packs every 4 hrs.

C. Wash daily w/ an antibacterial soap.

D. Keep draining lesions uncovered to air dry.

A nurse is caring for a client with severe burns to both lower extremities. The client

is scheduled for an escharotomy and wants to know what the procedure involves.

Which of the following statements is appropriate for the nurse to make?

A. An escharotomy surgically removes dead tissue.

B. A cannula will be inserted into the bone to infuse fluids & antibiotics.

C. A piece of skin will be removed and grafted over the burned area.

D. Large incisions will be made in the burned tissue to improve circulation.