The nurse provides postoperative teaching about colostomy care to a client who underwent
surgery for cancer of the colon. The education would include which instruction related to skin
care around the stoma?
-apply liberal amounts of vaseline for 3in around the stoma
-wash the area with soap and water and then apply a protective ointment
-pour saline over the stoma, and rub the area to remove hard fecal matter
-rinse the area with peroxide before applying the fresh gauze bandages correct answers -wash the
area with soap and water and then apply a protective ointment
Which clinical findings would the nurse anticipate when assessing a child with newly diagnosed
acute lymphoblastic leukemia?
pallor
fatigue
jaundice
multiple bruises
generalized edema correct answers pallor
fatigue
multiple bruises
The nurse is performing an assessment on a child who has been admitted to the hospital with the
diagnosis of acute lymphocytic leukemia (ALL). Which early clinical findings would the nurse
expect to identify?
nosebleeds and papilledema
fatigue and ecchymotic areas
, abd pain and reddened complexion
enlargement of axillary and groin lymph nodes correct answers fatigue and ecchymotic areas
Which common response do clients with cancer experience, regardless of the sites of the cancer,
that accounts for their cachexia?
depression precipitates anorexia
changes in taste and food aversions
decreased saliva impedes chewing and swallowing
decreased gastrointestinal absorption of nutrients correct answers changes in taste and food
aversions
Three days before surgery for a permanent colostomy because of cancer of the colon, a client is
receptive to all procedures, responds pleasantly when approached, and does not question staff
about interventions or care being received. Which conclusion should the nurse make based on
these behaviors?
-the client has been fully informed about what to expect
-the client is not verbalizing feelings about concerns
-the client cannot accept the illness and need for surgery
-the client feels reassured by frequent contact with health care staff correct answers -the client is
not verbalizing feelings about concerns
A school-age child with acute lymphoid leukemia is neutropenic. Which etiology would the
nurse recognize as the cause of neutropenia?
internal bleeding
overwhelming infection
increased immature cell growth