When should the drainage appliance be applied to the stoma after an ileostomy?

Correct Answer: B

Rationale: The correct answer is B: when edema has subsided. This is because applying the drainage appliance too soon can lead to leakage due to swelling around the stoma. Waiting for the edema to subside ensures a proper fit of the appliance, preventing skin irritation and leakage. Choice A (24 hours later) is incorrect because the timing should be based on the individual's stoma condition, not a fixed timeframe. Choice C (In the operating room) is incorrect as applying the appliance immediately after surgery may not account for post-operative changes. Choice D (After the ileostomy begins to function) is incorrect as waiting for function may lead to skin irritation and leakage in the meantime.

Correct Answer: C

Rationale: The correct answer is C because placing the comatose client in a side-lying position with the head of the bed lowered helps prevent aspiration and allows oral secretions to drain out. This position also helps in preventing choking and ensures proper airway management. Choice A is incorrect because lemon glycerin can be harmful if aspirated and should not be applied without assessing the client's condition first. Choice B is incorrect because brushing teeth with the client lying supine can increase the risk of aspiration. Choice D is incorrect as hydrogen peroxide is not recommended for oral care in comatose clients due to its potential toxicity if ingested.

Correct Answer: C

Rationale: The correct answer is C: A nosocomial infection. Nosocomial infections are acquired in a healthcare setting, such as hospitals. This is the correct term for infections that occur during medical care. A is incorrect as it refers to infections acquired outside of healthcare facilities. B is incorrect as iatrogenic infections are caused by medical treatment. D is incorrect as opportunistic infections are caused by pathogens that take advantage of weakened immune systems.

Correct Answer: A

Rationale: The correct answer is A because avoiding all types of meat is crucial for an occult blood test as meat can interfere with the results. Choice B is incorrect because dark-colored foods do not impact the test. Choice C is incorrect as smoking does not affect the test. Choice D is irrelevant as aquamephyton is not related to the test.

Correct Answer: C

Rationale: The correct answer is C, the circulating nurse. The circulating nurse is responsible for monitoring the activities of each OR suite to ensure the safety and efficiency of the operation. They coordinate the flow of the OR, manage equipment, supplies, and patient safety. The scrub nurse assists the surgeon with instruments and does not have the oversight role. The anesthesiologist focuses on the patient's anesthesia and not the overall OR activities. The surgeon's main role is to perform the surgery, not monitor the suite's activities. Thus, the circulating nurse is the correct choice for monitoring OR activities.