RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)

ANSWERS

 

CASE I

Question 1:

1. Change the appliance q 5 days or as needed if it leaks or if it smells.

2. Empty the bag when it is 1/3 full.

3. Put a drop of oil in the bag when it is new to make it easier to empty.

4. Use a bag with filter.

5. Avoid foods that are likely to produce a foul smell or gas as they decompose.

6. Take care of the ostomy bag before breakfast.

7. Add a product to the bag that will reduce odours (e.g. M9, mouthwash or toothpaste).

8. Bismuth subcarbonate tablets (3-4x) daily to reduce odours.

CASE II

Question 1:

1. Position patient in low fowlers to lessen tension on the abdomen.

2. Cover the wound with sterile, nonadherent dressing moistened with sterile normal saline soln.

3. Monitor patient’s condition (i.e. V/S, sign and symptoms of shock, document the incident.)

CASE III

Question 1:

1. Encourage patient to ambulate (at least 3x per day). - Ambulation stimulates peristalsis which help the bowel to move.

CASE IV

Question 1:

1. Dumping syndrome.

Question 2:

1. Provide a small frequent meal (6 meals) to avoid overloading the intestine.

2. Avoid fluids at least 30-45 mins before and after meals; helps to prevent distension and feeling of fullness.

3. Rest after meals and avoid stress.

4. Avoid concentrated sweets (honey, sugar, jelly, jam, candies etc.); may cause dizziness, diarrhea, and feeling of fullness.

5. Avoid large meals, high salts, and carbohydrates.

6. Increase protein and fats to promote rebuilding of body tissue to meet energy needs.

CASE V

Question 1:

1. Level of conciousness.