A client with colon cancer has surgery with a colostomy. Which assessments indicate to the nurse that the client is developing postoperative complications? (Select all that apply.)
a. Urine output > 30 mL/hr
b. Dusky appearance of the stoma
c. Stoma protrusion from the skin
d. Small amount of blood-tinged liquid stool in colostomy bag
e. Edema of the stoma during the first 24 hours post-operation
f. Sharp abdominal pain
Identify the primary complications for which the nurse should monitor clients who have had a subtotal thyroidectomy for treatment of hyperthyroidism. (Select all that apply.)
a. Vomiting
b. Airway obstruction
c. Thrombocytopenia
d. Hidden bleeding
e. Hypothyroidism
f. Hypocalcemia
Hospice care is often used for the treatment of terminally ill clients with cancer. Identify the basic characteristics found in hospice programs. (Select all that apply.)
a. Control of client symptoms and relief of pain
b. Treatment of the client as a separate entity from the family to reduce grief
c. Services provided on the ability to pay
d. Use of trained volunteers to augment staff services
e. Bereavement follow-up
f. Care provided in the home independent of physicians
Identify the proper sequence for the steps the nurse should follow in changing the dressing on an incision that is closed with surgical staples.
____ Apply antiseptic ointment to the suture line.
____ Cleanse the area around the incision with an appropriate cleansing solution.
____ Explain the procedure to the client.
____ Teach the client how to minimize stress on the incision line.
____ Note characteristics of any drainage.
____ Remove the old dressing using clean technique.
____ Apply the new dressing using sterile technique.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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