Which interventions does the nurse include in care for the patient who underwent a total pelvic exenteration for a cancer diagnosis one day ago? Select all that apply.

Administer hormone replacement medications as ordered , Connect the ureterostomy to a collecting bag while the patient is sleeping , Encourage the patient to assist with colostomy and ureterostomy bag changes. Interventions to be included in the care plan of the patient who underwent a total pelvic exenteration include administration of HRT medications as ordered, connecting the ureterostomy to a collecting bag while the patient is sleeping, and encouraging the patient to assist with the colostomy and ureterostomy bag changes. The colostomy bag should be emptied when the bag is a third full, not a half, as this increases the risk for leakage. Absent bowel sounds are an expected finding in the patient who underwent major abdominal surgery including colon resection. The provider does not need to be notified one day postop about absent bowel sounds.

Which interventions does the nurse include in care for the patien...

Category: Physiological Adaptation
Difficulty: 10

Topics: Elimination Endocrine Gastrointestinal Hematology/Oncology Nursing Interventions Sexuality and Reproduction Tissue Integrity Communication & Documentation Health Promotion Patient Education

Want help? View the answer with rationale.

Additional Physiological Adaptation Questions

Following an infection with rhinovirus, the patient reports initial improvement followed by significant congestion and upper teeth pain. The nurse anticipates which diagnosis?

Question Type: Multiple Choice - Select One
Difficulty: 4

During hourly rounding assessment of the patient with a chest tube for treatment of a pneumothorax, the nurse notes the patient’s chest and neck are markedly more edematous than on previous assessment. Upon palpation, crepitus is noted. Which action does the nurse take first?

Question Type: Multiple Choice - Select One
Difficulty: 4

The patient found unresponsive in the park is determined to be in ventricular fibrillation. After cardiopulmonary resuscitation and defibrillation, the patient experienced return of spontaneous circulation. Initial survey upon arrival to the emergency department (ED) reveals a cachectic appearance and an edematous mass on the right forearm; upon palpation, the nurse palpates a thrill. The nurse is aware life-saving measures will have which aim?

Question Type: Multiple Choice - Select One
Difficulty: 9

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Physiological Adaptation Questions

Nursing Careers

Nursing Degrees

NCLEX