Practice Quiz

CRNE Exam Prep

Category - Partnership

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Mrs. Circe is a 58-year-old housewife who had a surgery for permanent colostomy seven days ago. She is extremely concerned about caring for her colostomy. The client refuses to do the draining and cleaning herself. As the nurse changes the bag, Mrs. Circe said, “Does it really look that red and swollen?” Before discharge, the nurse must include this activity to promote self-care of colostomy:
  1. Provide step-by-step written instruction with illustrations on colostomy care.
  2. Teach Mrs. Circe’s daughter how to perform proper colostomy care.
  3. Discuss what the client should expect during colostomy care.
  4. Allow the client to perform some portion of colostomy care.
Explanation
Answer: C - In order to promote self-care of colostomy, the nurse should discuss what should be expected during colostomy care which includes the correct appearance of the stoma. It is clear from Mrs. Circe’s statement that she lacks knowledge of what a stoma should look like, making her reluctant to do the draining and cleaning herself. Providing step-by-step instructions with illustrationsare appropriate only if the client is comfortable in carrying out the whole procedure. Being able to perform portions of the task, and teaching other people to do the procedure do not facilitate independence.
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