Question

1. A nurse is changing a client's colostomy pouch and notice peristomal skin irritation Which of the following actions should the nurse take? A. Rub the peristomal skin dry after cleaning B. Apply the pouch while the skin barrier is still damp C. Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma D. Change the pouch once every 24 Hr. 2. A nurse is caring for a client who has left lower lobe atelectasis. In which of the following positions should they position the drainage? A. Prone with pillows under the lower extremities B. Side lying with the right side of the chest elevated C. Supine in low fowler's position D. Right lateral in Trendelenburg position 3. A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care A. Obtain a random blood glucose daily B. Prepare the client for a central venous line C. Change the PN infusion bag every 48 Hr. D. Administer the PN and fat emulsion separately

Answer 1

1.A.Rub the periostamal skin and make it dry after cleaning inorder to prevent irritation and candidiasis.

2.A.prone with pillows under the lower extrimities would help to make the ease flow of drain from lower lobe.

3.B.prepare the client for a cental venous line as it is the best way to transfuse total parentral nutritiion .