1. The outgoing nurse endorsed the patient with descending colostomy and upon assessment, you have noticed a stool leakage in the skin barrier. Which of the following is your immediate nursing action? A. Ask the outgoing nurse to re-assess the colostomy and ask to change the skin barrier before living. Refer to the medical resident's or fellow on duty. B. None of the above. C. Change the skin barrier immediately. D. Report to the charge nurse.
Please answer ALL the questions with the correct answer.
1. The outgoing nurse endorsed the patient with descending colostomy and upon assessment, you have noticed a stool leakage in the skin barrier. Which of the following is your immediate nursing action?
A. Ask the outgoing nurse to re-assess the colostomy and ask to change the skin barrier before living. Refer to the medical resident's or fellow on duty.
B. None of the above.
C. Change the skin barrier immediately.
D. Report to the charge nurse.
2. As a nurse, what do you expect about the stool discharged from a descending colostomy?
A. Increasingly solid fecal drainage
B. Drainage is liquid and digestive enzymes are present
C. Drainage is cannot be regulated
D. Malodorous, mushy drainage
3. The client was admitted in the medical surgical ward of San Lazaro hospital and inserted with Chest Tube. When is it beneficial to clamp the patient's chest tube?
A. When ordered by a physician to simulate tube removal and assess the patient's response. ~
B. When ambulating a post-operative patient with chest tube.
C. Whenever the patients leave the ward, and no one can see and monitor his condition.
D. It is never beneficial to clamp the chest tube of the patient
4. There are three traditional chest tube drainage. These chambers are?
A. Wet or dry suction control chamber, collection chamber, commercial chamber
B. Wet or dry suction control chamber, water seal chamber
C. Collection chamber, water seal chamber, commerce chamber
D. Collection chamber, water seal chamber. Wet or dry suction control chamber
5. The following are the indications for Central Venous Pressure except:
A. Systemic fluid status
B. Assess right ventricular function
C. Not Rapid infusions
6. The dialysate for PD comes in 1.5 %, 2.5% and 4.5% solution, this solutions indicates the:
A. urea concentration
B. antibiotic concentration
C. glucose concentration
D. heparin concentration
7. Which of the following describes the correct purpose for bladder irrigation:
A. Allow continuous monitoring of the fluid output status
B. Provide continuous flushing of clots and debris from the bladder
C. Allow for proper exchange of electrolytes
D. Ensure accurate monitoring of intake and output
8. Situation: Banjo, a 69-year-old patient, post TURP. You noted that he has a 3-way indwelling catheter for continuous fast drip bladder irrigation which is connected to a straight drainage. Immediately after surgery, the nurse expects the urine to be:
A. Bright red
B. Pinkish to red
C. Amber
D. Light yellow
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