Scenario Year Male Explained for Students (Easy Guide)
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Original Question
Scenario: A 60-year-old male had a colon resection and colostomy 2 weeks ago. He was discharged home 7 days after surgery and received discharge instructions and teaching before leaving the hospital. He is now at the clinic for a follow-up visit. The nurse evaluates the effectiveness of actions. NGN Item Type: Extended Multiple Response Which of the following findings indicate effectiveness? Select all that apply. ____1. The patient has not taken prescribed pain medication due to fear of “addiction.” ____2. The stoma is rosy red. ____3. The patient changes the colostomy drainable pouch every 5 days unless it is leaking, and then changes it at that time. ____4. The patient empties the colostomy drainable pouch when it becomes 75% full. ____5. The patient reports 7/10 pain (using a 0-10 pain intensity scale) during activity. ____6. The patient eats three regular meals a day with no restrictions. ____7. The patient sits in his recliner most of the day and ambulates to the bathroom three to four times a day. ____8. The skin surrounding the stoma is slightly reddened. Rationale:
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