Practice Question
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Answer Choices:
Correct Answer:
Trace the size of stoma onto the skin barrier
Rationale:
⏺Proper fitting of an ostomy appliance involves accurately tracing the stoma's size and shape onto the skin barrier wafer.
⏺This ensures a snug fit around the stoma, protecting the peristomal skin from exposure to enzymatic effluent, which can cause irritation, breakdown, or infection.
⏺The opening should be no more than 1/8 inch larger than the stoma, ensuring secure adhesion and minimizing leakage.
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This question is from RN VATI Fundamentals S 2019 FINAL which contains 57 questions.
More Questions from This Exam
A nurse is planning care for a client who has a fever due to an infection. Which of the following interventions should the nurse include in the plan of care?
Answer Choices:
A. Encourage fluid intake of 2,500 mL/day
B. Maintain the environmental temperature at 160C to 180C (600F to 650F).
C. Immerse the client in cold water.
D. Assist the client to ambulate.
A nurse receives a telephone call from a client's family member, who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?
Answer Choices:
A. Request additional information about the caller's relationship to the client.
B. Provide a general update about the client's condition over the telephone.
C. Refer the family member to the client's provider for the update.
D. Encourage the family member to contact the client directly for information.
A nurse is admitting a client who has rubella. Which of the following actions should the nurse plan to take?
Answer Choices:
A. Instruct the client's loved ones that the client should not have fresh flowers in their room.
B. Wear a surgical mask when within 0.9 m (3 feet) of the client.
C. Place the client in a room with negative-airflow pressure.
D. Instruct the client that visitors will not be allowed while they are in isolation.
A nurse is caring for a postoperative client and observes evisceration of the abdominal surgical wound. After covering the wound with a sterile, saline-soaked dressing, which of the following actions should the nurse take?
Answer Choices:
A. Position the client so that they are lying flat.
B. Increase the client's oral fluid intake.
C. Prepare the client for emergency surgery.
D. Apply gentle pressure to the dressed wound.
A nurse is assessing a client's coping skills. Which of the following should the nurse identify as an internal stressor?
Answer Choices:
A. Peer pressure.
B. Death of a family member.
C. Fear of medical test results.
D. Job transfer to another city.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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