which skin preparation would be best to apply around the client's colostomy?

Answers

Answer 1

One of the most commonly used skin preparation products for colostomy patients is a barrier cream or ointment. These products create a protective layer on the skin that prevents stool or urine from coming into direct contact with the skin, which can cause irritation, inflammation, and infection.

Some examples of barrier creams and ointments include zinc oxide, petroleum jelly, and silicone-based products.
Another option for skin preparation around a colostomy is a skin sealant or adhesive. These products are designed to create a tight seal around the colostomy pouch or appliance, preventing leaks and reducing the risk of skin irritation. Skin sealants and adhesives can be particularly useful for patients with sensitive skin or who are prone to skin breakdown.

In addition to using a skin preparation product, it is important to ensure that the skin around the colostomy is clean and dry before applying any product. This can be done by gently cleaning the area with mild soap and water, and then patting it dry with a soft towel or cloth.

Ultimately, the best skin preparation product for a client's colostomy will depend on their individual needs and preferences, as well as the type and severity of their colostomy. It is always important to consult with a healthcare provider or ostomy nurse to determine the most appropriate skin preparation regimen for each individual client.

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Related Questions

Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth on the lower left calf. What intervention should be most helpful to this client?
A) Apply sequential compression devices (SCDs) bilaterally.
B) Assess for a positive Homan's sign in each leg.
C) Pad all bony prominences on the affected leg.
D) Advise the client to remain in bed with the leg elevated.

Answers

The most helpful intervention for a male client experiencing aching pain, redness, and warmth in his left leg two days postoperative is to apply sequential compression devices (SCDs) bilaterally.

The symptoms of aching pain, redness, and warmth in the left leg may indicate the possibility of deep vein thrombosis (DVT) or a blood clot. To address this concern and promote venous circulation, applying sequential compression devices (SCDs) bilaterally (option A) would be the most appropriate intervention. SCDs help prevent the formation of blood clots by intermittently compressing the legs, enhancing blood flow and reducing the risk of venous stasis.

Assessing for a positive Homan's sign (option B) is a screening maneuver for DVT but is not as effective as preventive measures such as SCDs. Padding bony prominences (option C) is important for pressure ulcer prevention but does not directly address the underlying issue of potential DVT. Advising the client to remain in bed with the leg elevated (option D) may alleviate discomfort but does not actively promote venous circulation. Therefore, option A, applying SCDs bilaterally, is the most helpful intervention in this situation.


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.traditional views of gender roles are more likely found in a. collectivist cultures b. individualistic cultures c. countries like the netherlands, germany, italy, and england d. Western cultures

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Traditional views of gender roles are more likely found in collectivist cultures.

The correct answer is : A

In collectivist cultures, such as those found in many Asian, African, and Latin American countries, there is a greater emphasis on interconnectedness, social harmony, and adherence to societal norms. These cultures often uphold traditional gender roles, where men are expected to be dominant, assertive, and the primary providers, while women are expected to be nurturing, submissive, and primarily responsible for domestic duties. In contrast, individualistic cultures, such as those prevalent in Western societies, tend to prioritize personal autonomy, individual achievements, and independence. These cultures have experienced greater shifts towards gender equality and challenging traditional gender roles, although there may still be remnants of traditional views in certain segments of the population.

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Which one of the following is not a true principle of dressing and bandaging?
A) Ask the victim how the bandages feel; if it's too tight, loosen it, and make it comfortable but snug
B) Bandages should not be too loose; neither dressing nor the bandage should shift or slip.
C) The original dressing should be removed and replaced if blood soaks through.

Answers

The original dressing should be removed and replaced if blood soaks through is not a true principle of dressing and bandaging. The correct answer is option C).

Options A and B are true principles of dressing and bandaging as they emphasize the importance of ensuring the bandage is snug but not too tight or loose to prevent further injury. However, option C is not a true principle as removing the original dressing and replacing it if blood soaks through can cause further trauma and delay the healing process.

It is recommended to reinforce the existing dressing with additional bandages or apply pressure to the affected area to control bleeding. Only a medical professional should remove and replace a dressing if necessary.

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Which of the following antibacterial drug groups does not target protein synthesis? -
A. sulfonamides -
B. clindamycin -
C> tetracycline -
D. erythromycin -
E. aminoglycosides.

Answers

The following antibacterial drug groups does not target protein synthesis : A)sulfonamides. Sulfonamides work by inhibiting the growth and multiplication of bacteria by blocking the synthesis of folic acid, which is necessary for bacterial growth. Hence, option A) is the correct answer.

On the other hand, the other drug groups mentioned, including clindamycin, tetracycline, erythromycin, and aminoglycosides, all target protein synthesis in different ways. Clindamycin and erythromycin bind to the 50S ribosomal subunit of bacterial ribosomes, while tetracycline binds to the 30S ribosomal subunit, both of which prevent protein synthesis.

Aminoglycosides, such as gentamicin and streptomycin, also bind to the 30S ribosomal subunit, causing misreading of the genetic code and resulting in the synthesis of abnormal proteins that are non-functional and ultimately lead to bacterial death. In summary, sulfonamides do not target protein synthesis, whereas the other drug groups mentioned work by interfering with protein synthesis in bacterial cells.

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when inserting an oropharyngeal airway in an infant or child, you should:

Answers

When inserting an oropharyngeal airway in an infant or child, it is important to choose the correct size airway to ensure proper placement and prevent injury.

The size of the airway should be based on the child's age and weight. Before insertion, ensure that the child's head is in a neutral position and the airway is clear of any obstructions. Insert the airway with the curved end facing the roof of the mouth and the flange resting against the child's lips. Gently push the airway in until resistance is met and rotate it 180 degrees to ensure proper placement. Monitor the child's breathing and adjust the airway as needed. It is important to note that oropharyngeal airways are not appropriate for all pediatric patients and should only be used when appropriate and under the guidance of a healthcare professional.
When inserting an oropharyngeal airway in an infant or child, you should first select the correct size, which should extend from the mouth's corner to the earlobe. Position the child on their back, with their head in a neutral or slightly extended position. Open the mouth using the cross-finger technique. Insert the airway with the tip facing the roof of the mouth. Gently rotate the airway 180 degrees as it reaches the back of the throat, so the tip sits behind the tongue. Confirm proper placement and maintain a patent airway by checking for unobstructed breathing and equal chest rise.

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a rn is delegating client care responsibilities to a licensed practical/vocational nurse (lpn/vn). which nursing responsibilities would be appropriate to delegate to the lpn? select all that apply.

Answers

The responsibilities that can be delegated to a Licensed Practical/Vocational Nurse (LPN/VN) by a registered nurse (RN) include medication administration, wound care, vital sign monitoring, data collection, and patient education.

Delegating client care responsibilities to an LPN/VN allows the RN to focus on more complex tasks. LPNs/VNs are trained to provide basic nursing care and can perform specific tasks under the supervision of an RN. Medication administration, including oral, topical, and injectable medications, can be delegated to an LPN/VN. They can also assist with wound care, such as dressing changes and basic wound assessments.

Monitoring and documenting vital signs, collecting data such as intake and output measurements, and assisting with patient education are also appropriate tasks to delegate to an LPN/VN. It's important for the RN to provide clear instructions, monitor the LPN/VN's performance, and be available for consultation and collaboration.

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which portion of the electrocardiogram represents the time during which the atria repolarize?

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The portion of the electrocardiogram that represents the time during which the atria repolarize is known as the T wave.

The T wave represents the recovery period of the ventricles after they have depolarized, and during this time, the atria are also repolarizing. This portion of the ECG is important because it provides information about the electrical activity of the heart, specifically the timing and duration of ventricular repolarization. A prolonged or abnormal T wave may indicate underlying cardiac issues, such as electrolyte imbalances, ischemia, or medication toxicity. It is important to monitor and interpret the T wave accurately to ensure proper diagnosis and treatment of cardiac conditions.
The portion of the electrocardiogram (ECG) that represents the time during which the atria repolarize is hidden within the QRS complex. The atrial repolarization occurs simultaneously with the depolarization of the ventricles. However, the atrial repolarization signal is much smaller than the ventricular depolarization signal and is typically not visible on the ECG due to the larger and more prominent QRS complex, which represents ventricular depolarization. Therefore, atrial repolarization is overshadowed by the QRS complex in a standard ECG reading.

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A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. What response should the nurse provide?

Answers

The nurse should inform the client that enteric-coated aspirin should not be crushed or altered in any way before swallowing. Crushing or breaking the can compromise the medication's intended effect and may lead to undesirable consequences.

Enteric-coated aspirin is designed to bypass the stomach and dissolve in the small intestine, thereby reducing the risk of gastric irritation. The enteric coating acts as a protective layer that helps prevent the aspirin from being absorbed too quickly or irritating the stomach lining.

Crushing the enteric-coated tablet can disrupt this protective coating, leading to premature dissolution in the stomach and potential stomach irritation. It is important for the client to understand that taking the medication as directed, without altering its form, ensures the intended therapeutic effect and minimizes the risk of adverse effects.

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whether you are using a commercial device or a stick and triangular bandage as a tourniquet, it is important to remember that:

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Answer:

Whether you are using a commercial device or a stick and triangular bandage as a tourniquet, it is important to remember that; Tourniquets should only be used as a last resort, Apply them proximal to the bleeding site, Apply enough pressure to stop the bleeding, Secure the tourniquet in place, Note the time of application and Seek medical help immediately.

Explanation:

Tourniquets should only be used as a last resort: Tourniquets are used to control severe bleeding when other methods are ineffective or not readily available. They should be considered a last resort and used only when direct pressure and elevation of the affected limb are not stopping the bleeding.Apply the tourniquet proximal to the bleeding site: The tourniquet should be applied as close to the bleeding site as possible, but proximal to it. This means applying the tourniquet above the injury, closer to the body, rather than on or below the injury. Placing it too far away from the bleeding site may not effectively control the bleeding.Apply enough pressure to stop the bleeding: When applying a tourniquet, it is crucial to tighten it enough to stop the bleeding. The tourniquet should be applied tightly, but it should not be excessively tightened to the point of causing additional harm or damage to the limb.Secure the tourniquet in place: Once the tourniquet is applied, it should be securely fastened to maintain pressure on the affected limb. Make sure the tourniquet is tightly secured to prevent it from loosening or slipping.Note the time of application: It is important to note the time at which the tourniquet was applied. This information is vital for healthcare professionals to determine the duration the tourniquet has been in place, as prolonged application can lead to complications.Seek medical help immediately: Applying a tourniquet is an emergency measure, and medical help should be sought immediately. Tourniquets are not a definitive solution and are meant to provide temporary control of severe bleeding until professional medical assistance is available.

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