A) Arrange a consultation with a sex therapistB) Suggest sexual positions that hide the colostomyC) Invite the partner to participate in colostomy careD) Determine the client's understanding of her colostomyThe correct answer is D: Determine the client''s understanding of her colostomyOne of the greatest fears of colostomy clients is the fear that sexual intimacy is no longer possible. However,the specific concern of the client needs to be assessed before specific suggestions for dealing with thesexual concerns are given.
Question Number 10 of 40
In providing care to a 14 year-old adolescent with scoliosis, which of the following will be most difficult for this client?
.A) Compliance with treatment regimensB) Looking different from their peersC) Lacking independence in activitiesD) Reliance on family for their social supportYour response was
.The correct answer is B: Looking different from their peersConformity to peer influences peaks at around age 14. Since many persons view any disability as deviant,the client will need help in learning how to deal with reactions of others. Treatment of scoliosis is long-termand involves bracing and/or surgery
Question Number 11 of 40
A client complaining of severe shortness of breath is diagnosed with congestive heart failure. The nurseobserves a falling pulse oximetry. The client's color changes to gray and she expectorates large amounts of pink frothy sputum. The
action of the nurse would be which of the following?A) Call the health care provider B) Check vital signsC) Position in high Fowler'sD) Administer oxygenThe correct answer is D: Administer oxygenWhen dealing with a medical emergency, the rule is airway first, then breathing, and then circulation.Starting oxygen is a priority.
Question Number 12 of 40
Which of the following nursing assessments indicate immediate discontinuance of an antipsychoticmedication?A) Involuntary rhythmic stereotypic movements and tongue protrusionB) Cheek puffing, involuntary movements of extremities and trunkC) Agitation, constant state of motionD) Hyperpyrexia, severe muscle rigidity, malignant hypertensionThe correct answer is D: Hyperpyrexia, severe muscle rigidity, malignant hypertensionHyperpyrexia, sever muscle rigidity, and malignant hypertension are assessment signs indicative of NMS(neuroleptic malignant syndrome
Question Number 13 of 40
A 3 year-old child is treated in the emergency department after ingestion of 1ounce of a liquid narcotic. Whataction should the nurse do
?A) Provide the ordered humidified oxygen via maskB) Suction the mouth and the nose